Jonathan Park Buckwalter, FNP-C in Prescott Valley, AZ

Jonathan Park Buckwalter, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Prescott Valley, Arizona. His current practice location is 3075 N Windsong Dr Ste A, Prescott Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 350-8780.

Jonathan Park Buckwalter is licensed to practice in Arizona (license number AP10723) 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 1427569110.

Contact Information

	Jonathan Park Buckwalter, FNP-C
	3075 N Windsong Dr Ste A, Prescott Valley, AZ 86314-1208
	(928) 350-8780
	Not Available

Map and Direction

Provider's Profile

Full Name	Jonathan Park Buckwalter
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3075 N Windsong Dr Ste A, Prescott Valley, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427569110
Provider Enumeration Date: 10/20/2017
Last Update Date: 07/30/2020

Medicare PECOS Information:

PECOS PAC ID: 6002237740
Enrollment ID: I20200604000632

Medical Identifiers

Medical identifiers for Jonathan Park Buckwalter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427569110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN174745 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	AP10723 (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. Jonathan Park Buckwalter allows following entities to bill medicare on his behalf.

Entity Name	Yavapai Primary Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346871076 PECOS PAC ID: 6305275504 Enrollment ID: O20200409002754

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. Jonathan Park Buckwalter 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
Jonathan Park Buckwalter, FNP-C Po Box 26568, Prescott Valley, AZ 86312-6568 Ph: (928) 778-1251	Jonathan Park Buckwalter, FNP-C 3075 N Windsong Dr Ste A, Prescott Valley, AZ 86314-1208 Ph: (928) 350-8780

Reviews and Comments

Nurse Practitioner Nurses in Prescott Valley, AZ

Mrs. Holly Ann Allred, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6386 E Ashton Pl, Prescott Valley, AZ 86314 Phone: 928-533-3971
Reneallia Bennett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3075 N Windsong Dr Ste A, Prescott Valley, AZ 86314 Phone: 928-350-8780 Fax: 888-674-1228
Cheryl Anne Wagner, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7600 E Florentine Rd, Prescott Valley, AZ 86314 Phone: 928-772-1610
Laura Finkbeiner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 86314 Phone: 605-685-3995
Kelly L Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 86314 Phone: 928-442-8710 Fax: 928-442-8742
Amy M Thein, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3345 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-445-5211
Ms. Anita M Gilbert, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 N Glassford Hill Rd, Prescott Valley, AZ 86314 Phone: 928-777-7820 Fax: 928-777-7821

Jonathan Park Buckwalter, FNP-C - Medicare Nurse Practitioner in Prescott Valley, AZ