Dedra A Wadsworth, FNP - Medicare Nurse Practitioner in Phoenix, AZ

Dedra A Wadsworth, FNP is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Empact- Suicide Prevention Center and her current practice location is 10240 N 31st Ave Ste 200, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 344-2500.

Dedra A Wadsworth is licensed to practice in Arizona (license number TAP5036) 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 1205275997.

Contact Information

Dedra A Wadsworth, FNP
10240 N 31st Ave Ste 200,
Phoenix, AZ 85051-9565
(602) 344-2500
(602) 247-9500

Map and Direction




Provider's Profile

Full NameDedra A Wadsworth
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location10240 N 31st Ave Ste 200, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dedra A Wadsworth graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1205275997
  • Provider Enumeration Date: 06/17/2013
  • Last Update Date: 06/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8729221734
  • Enrollment ID: I20130823000268

Medical Identifiers

Medical identifiers for Dedra A Wadsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205275997NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family TAP5036 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Empact- Suicide Prevention Center236541657525

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. Dedra A Wadsworth allows following entities to bill medicare on her behalf.
Entity NameEmpact- Suicide Prevention Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003982133
PECOS PAC ID: 2365416575
Enrollment ID: O20040824000311

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. Dedra A Wadsworth 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 AddressPractice Location Address
Dedra A Wadsworth, FNP
2929 E Thomas Rd,
Phoenix, AZ 85016-8034

Ph: (602) 470-5043
Dedra A Wadsworth, FNP
10240 N 31st Ave Ste 200,
Phoenix, AZ 85051-9565

Ph: (602) 344-2500

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.