Carly Brooke Pravong, FNP-C in Scottsdale, AZ

Carly Brooke Pravong, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Scottsdale, Arizona. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nextcare Arizona Llc and her current practice location is 10900 N Scottsdale Rd Ste 606, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 368-2500.

Carly Brooke Pravong is licensed to practice in Arizona (license number 219032) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396216800.

Contact Information

	Carly Brooke Pravong, FNP-C
	10900 N Scottsdale Rd Ste 606, Scottsdale, AZ 85254-5252
	(480) 368-2500
	Not Available

Map and Direction

Provider's Profile

Full Name	Carly Brooke Pravong
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	10900 N Scottsdale Rd Ste 606, Scottsdale, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carly Brooke Pravong graduated from nursing school in 2018

NPI Data:

NPI Number: 1396216800
Provider Enumeration Date: 12/09/2018
Last Update Date: 12/09/2018

Medicare PECOS Information:

PECOS PAC ID: 7416297809
Enrollment ID: I20190321001786

Medical Identifiers

Medical identifiers for Carly Brooke Pravong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396216800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	219032 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nextcare Arizona Llc	9537161260	246

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carly Brooke Pravong allows following entities to bill medicare on her behalf.

Entity Name	Cigna Healthcare Of Arizona Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043471873 PECOS PAC ID: 1456263573 Enrollment ID: O20031105000515

Entity Name	Nextcare Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357

Entity Name	Nextcare Arizona I Jv Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114798071 PECOS PAC ID: 7416393194 Enrollment ID: O20240316000136

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Brooke Pravong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carly Brooke Pravong, FNP-C 2234 W Twain Dr, Anthem, AZ 85086-2327 Ph: (623) 399-0119	Carly Brooke Pravong, FNP-C 10900 N Scottsdale Rd Ste 606, Scottsdale, AZ 85254-5252 Ph: (480) 368-2500

Reviews and Comments

Nurse Practitioner Nurses in Scottsdale, AZ

Mrs. Tamera Ann Youngblood, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14570 E Sweetwater Ave, Scottsdale, AZ 85259 Phone: 602-463-8064 Fax: 800-877-0713
Ira Eunice Arandia Mauro, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9201 E Mountain View Rd, Scottsdale, AZ 85258 Phone: 855-246-6287
Mr. Brett Lee Leifson, APRN MSN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7373 N Scottsdale Rd Ste A199, Scottsdale, AZ 85253 Phone: 702-805-5360 Fax: 702-977-7488
Patricia Li, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15425 N Greenway Hayden Loop Ste A300, Scottsdale, AZ 85260 Phone: 480-607-1124 Fax: 480-607-1087
Marci Farquhar-snow, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Helen Walker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10200 N 92nd St Ste 150, Scottsdale, AZ 85258 Phone: 480-860-8488 Fax: 480-860-8498
Amy L Swanholm, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11333 N Scottsdale Rd Ste 230, Scottsdale, AZ 85254 Phone: 480-631-7373 Fax: 480-631-7374

Carly Brooke Pravong, FNP-C - Medicare Nurse Practitioner in Scottsdale, AZ