Edward Vidal, FNP - Medicare Nurse Practitioner in Phoenix, AZ

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Edward Vidal, FNP is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Loop 101 Emergency Physicians Llc, Honorhealth, 303 Emergency Physicians Pllc, Emcare - Pnx Emergency Physicians Llc and his current practice location is 2331 W Carson Rd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 516-2494.

Edward Vidal is licensed to practice in Arizona (license number AP11639) 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 1386123305.

Contact Information

Edward Vidal, FNP
2331 W Carson Rd,
Phoenix, AZ 85041-6408
(602) 516-2494
Not Available

Map and Direction




Provider's Profile

Full NameEdward Vidal
GenderMale
SpecialityNurse Practitioner
Experience20 Years
Location2331 W Carson Rd, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edward Vidal graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1386123305
  • Provider Enumeration Date: 08/09/2018
  • Last Update Date: 11/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4082954052
  • Enrollment ID: I20190329001103

Medical Identifiers

Medical identifiers for Edward Vidal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386123305NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP11639 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John C. Lincoln North Mountain HospitalPhoenix, AZHospital
Honorhealth Deer Valley Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Loop 101 Emergency Physicians Llc084029548139
Honorhealth145625860743
303 Emergency Physicians Pllc256769252840
Emcare - Pnx Emergency Physicians Llc377957416537

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. Edward Vidal allows following entities to bill medicare on his behalf.
Entity NameMaricopa County Special Health Care District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073576740
PECOS PAC ID: 4688583651
Enrollment ID: O20031204000823
Entity NameHonorhealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801092564
PECOS PAC ID: 1456258607
Enrollment ID: O20031216000350
Entity NameEmcare - Pnx Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902855992
PECOS PAC ID: 3779574165
Enrollment ID: O20040524000667
Entity NameLoop 101 Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376573378
PECOS PAC ID: 0840295481
Enrollment ID: O20061003000466
Entity NameDistrict Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336472448
PECOS PAC ID: 7315086691
Enrollment ID: O20091125000583
Entity NameEmergency Group Of Arizona Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215275433
PECOS PAC ID: 1355596644
Enrollment ID: O20130313000442
Entity Name303 Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518398585
PECOS PAC ID: 2567692528
Enrollment ID: O20140313001083
Entity NameArizona Acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154860674
PECOS PAC ID: 6204113970
Enrollment ID: O20170505001284

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. Edward Vidal 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
Edward Vidal, FNP
2331 W Carson Rd,
Phoenix, AZ 85041-6408

Ph: () -		Edward Vidal, FNP
2331 W Carson Rd,
Phoenix, AZ 85041-6408

Ph: (602) 516-2494

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.