Gabriel Lindstrom, FNP in Douglas, AZ - Medicare Nurse Practitioner

Gabriel Lindstrom, FNP is a medicare enrolled "Nurse Practitioner - Family" in Douglas, Arizona. His current practice location is 6911 N Bdi Blvd, Douglas, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 364-7521.

Gabriel Lindstrom is licensed to practice in Arizona (license number TAP8682) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518316983.

Contact Information

	Gabriel Lindstrom, FNP
	6911 N Bdi Blvd, Douglas, AZ 85607-6202
	(520) 364-7521
	Not Available

Map and Direction

Provider's Profile

Full Name	Gabriel Lindstrom
Gender	Male
Speciality	Nurse Practitioner - Family
Location	6911 N Bdi Blvd, Douglas, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518316983
Provider Enumeration Date: 06/07/2016
Last Update Date: 01/30/2017

Medicare PECOS Information:

PECOS PAC ID: 7618234758
Enrollment ID: I20171128003413

Medical Identifiers

Medical identifiers for Gabriel Lindstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518316983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	TAP8682 (Arizona)	Primary

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. Gabriel Lindstrom allows following entities to bill medicare on his behalf.

Entity Name	Bisbee Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007

Entity Name	Community Intervention Associates Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518250620 PECOS PAC ID: 4880851971 Enrollment ID: O20120201000213

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. Gabriel Lindstrom 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
Gabriel Lindstrom, FNP 69 Mohave Dr, Bisbee, AZ 85603-9796 Ph: (520) 559-2695	Gabriel Lindstrom, FNP 6911 N Bdi Blvd, Douglas, AZ 85607-6202 Ph: (520) 364-7521

Reviews and Comments

Nurse Practitioner Nurses in Douglas, AZ

Lilia Lara, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N F Ave, Douglas, AZ 85607 Phone: 520-364-3285
Oyeronke O Ajiboye-lala, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-366-3133
Ricardo Duarte, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 N Bdi Blvd, Douglas, AZ 85607 Phone: 520-364-7521
Kayla Rose Percy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 N F Ave, Douglas, AZ 85607 Phone: 520-364-1429
Shirley L. Bayham-hicks, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 F Ave, Douglas, AZ 85607 Phone: 520-364-3285 Fax: 520-364-4261
Ms. Gabrielle Alexandra Lugo, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-805-2986
Deborah Judith Kinder, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 N Bdi Blvd, Douglas, AZ 85607 Phone: 520-364-7521 Fax: 520-805-5969

Gabriel Lindstrom, FNP - Medicare Nurse Practitioner in Douglas, AZ