Dr Terry L Coyle, DC, FNP in Fort Mohave, AZ - Medicare Nurse Practitioner

Dr Terry L Coyle, DC, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Mohave, Arizona. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Revolutionary Services Llc and his current practice location is 5130 S Highway 95, Fort Mohave, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 768-2811.

Dr Terry L Coyle is licensed to practice in Arizona (license number AP5296) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639127780.

Contact Information

	Dr Terry L Coyle, DC, FNP
	5130 S Highway 95, Fort Mohave, AZ 86426-9374
	(928) 768-2811
	(928) 768-9787

Map and Direction

Provider's Profile

Full Name	Dr Terry L Coyle
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	5130 S Highway 95, Fort Mohave, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Terry L Coyle graduated from nursing school in 2013

NPI Data:

NPI Number: 1639127780
Provider Enumeration Date: 05/04/2006
Last Update Date: 03/01/2024

Medicare PECOS Information:

PECOS PAC ID: 6901863349
Enrollment ID: I20131125001367

Medical Identifiers

Medical identifiers for Dr Terry L Coyle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639127780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP5296 (Arizona)	Primary
2081P2900X	Physical Medicine & Rehabilitation - Pain Medicine	AP5296 (Arizona)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Valley View Medical Center	Fort mohave, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Revolutionary Services Llc	1254347560	2

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. Dr Terry L Coyle allows following entities to bill medicare on his behalf.

Entity Name	Revolutionary Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598092082 PECOS PAC ID: 1254347560 Enrollment ID: O20091130000411

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. Dr Terry L Coyle 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
Dr Terry L Coyle, DC, FNP 5130 S Highway 95, Fort Mohave, AZ 86426-9374 Ph: (928) 768-2811	Dr Terry L Coyle, DC, FNP 5130 S Highway 95, Fort Mohave, AZ 86426-9374 Ph: (928) 768-2811

Reviews and Comments

Nurse Practitioner Nurses in Fort Mohave, AZ

Mr. Ian Lloyd Ruiz Baccay, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426 Phone: 928-704-6400
Dilyara Cannon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874
Kristen Peddycord, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273
Deborah Ann Hughson, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426 Phone: 928-704-6400 Fax: 928-768-1150
Theresa Marin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-8000
Mr. Larry Lee Bousquet Ii, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln # 1, Fort Mohave, AZ 86426 Phone: 928-768-9496 Fax: 928-768-1943
Annie Marie Rodman, MSN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 E Wagon Wheel Ln, Suite 106, Fort Mohave, AZ 86426 Phone: 928-788-9378 Fax: 928-788-9381

Dr Terry L Coyle, DC, FNP - Medicare Nurse Practitioner in Fort Mohave, AZ