Edgar Mayorquin, NP in San Luis, AZ - Medicare Nurse Practitioner

Edgar Mayorquin, NP is a medicare enrolled "Nurse Practitioner" in San Luis, Arizona. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice San Luis Walk-in Clinic Inc and his current practice location is 1896 E Babbitt Ln, San Luis, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 722-6112.

Edgar Mayorquin is licensed to practice in Arizona (license number AP11434) 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 1619462009.

Contact Information

	Edgar Mayorquin, NP
	1896 E Babbitt Ln, San Luis, AZ 85349
	(928) 722-6112
	(928) 722-6113

Map and Direction

Provider's Profile

Full Name	Edgar Mayorquin
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	1896 E Babbitt Ln, San Luis, 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:

Edgar Mayorquin graduated from nursing school in 2018

NPI Data:

NPI Number: 1619462009
Provider Enumeration Date: 06/27/2018
Last Update Date: 08/19/2024

Medicare PECOS Information:

PECOS PAC ID: 9537418892
Enrollment ID: I20180820001431

Medical Identifiers

Medical identifiers for Edgar Mayorquin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619462009	NPI	-	NPPES
PENDING	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP11434 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
San Luis Walk-in Clinic Inc	2668361841	37

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. Edgar Mayorquin allows following entities to bill medicare on his behalf.

Entity Name	San Luis Walk-in Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795

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. Edgar Mayorquin 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
Edgar Mayorquin, NP Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 662-0406	Edgar Mayorquin, NP 1896 E Babbitt Ln, San Luis, AZ 85349 Ph: (928) 722-6112

Reviews and Comments

Nurse Practitioner Nurses in San Luis, AZ

Taliah Anabell Torres, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514
Ms. Adlene Joseph, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113
Larry Anthony Morales, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 Fax: 928-550-5160
Mrs. Leah K Mcnair, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1896 E. Babbit Lane, San Luis, AZ 85349 Phone: 928-627-9222 Fax: 928-627-8315
Diana Lorena Monroy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514
Hector Israel De La Torre, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 Fax: 928-722-6113
Richard Nasiru Elelu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7125 East Cesar Chavez Boulevard, San Luis, AZ 85349 Phone: 928-627-8871

Edgar Mayorquin, NP - Medicare Nurse Practitioner in San Luis, AZ