Jessica A Diefenbach, NURSE PRACTITIONER in Flagstaff, AZ

Jessica A Diefenbach, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Flagstaff, Arizona. Her current practice location is 4209 W Indigo Way, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (760) 731-0313.

Jessica A Diefenbach is licensed to practice in Arizona (license number 276424) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861016735.

Contact Information

	Jessica A Diefenbach, NURSE PRACTITIONER
	4209 W Indigo Way, Flagstaff, AZ 86001-8228
	(760) 731-0313
	(951) 587-8277

Map and Direction

Provider's Profile

Full Name	Jessica A Diefenbach
Gender	Female
Speciality	Nurse Practitioner
Location	4209 W Indigo Way, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861016735
Provider Enumeration Date: 06/05/2020
Last Update Date: 11/15/2023

Medicare PECOS Information:

PECOS PAC ID: 2567831498
Enrollment ID: I20221215000365

Medical Identifiers

Medical identifiers for Jessica A Diefenbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861016735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	276424 (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. Jessica A Diefenbach allows following entities to bill medicare on her behalf.

Entity Name	National Cardiovascular Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457989576 PECOS PAC ID: 7315362969 Enrollment ID: O20200730000941

Entity Name	Northern Arizona Surgical Assisting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568086437 PECOS PAC ID: 5991153439 Enrollment ID: O20231122001514

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. Jessica A Diefenbach 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
Jessica A Diefenbach, NURSE PRACTITIONER 4209 W Indigo Way, Flagstaff, AZ 86001-8228 Ph: (760) 731-0313	Jessica A Diefenbach, NURSE PRACTITIONER 4209 W Indigo Way, Flagstaff, AZ 86001-8228 Ph: (760) 731-0313

Reviews and Comments

Nurse Practitioner Nurses in Flagstaff, AZ

Dr. Sarah Lynn Salce, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6401
Wyatt D Woodard, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 N Leroux St, Ste B, Flagstaff, AZ 86001 Phone: 928-779-0361 Fax: 928-779-7143
Mr. Richard R Valdes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6100 Fax: 928-774-4808
Ms. Sherry Ann Mace, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 301, Flagstaff, AZ 86001 Phone: 928-773-2538
Ms. Julie Marie Polzin, RN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Suite 201, Flagstaff, AZ 86001 Phone: 928-913-8800 Fax: 928-913-8801
Dr. Evenstar Amelia Forbach, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7510 W Bridle Trl, Flagstaff, AZ 86001 Phone: 928-600-1731
Ms. Sarah Mcnaughton Preston, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1424 N Evergreen Dr, Flagstaff, AZ 86001 Phone: 928-699-9777

Jessica A Diefenbach, NURSE PRACTITIONER - Medicare Nurse Practitioner in Flagstaff, AZ