Jwan Odisho, AGACNP in Gilbert, AZ - Medicare Nurse Practitioner

Jwan Odisho, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Gilbert, Arizona. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Cancer Center Specialists Llc and her current practice location is 1900 N Higley Rd, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 543-2363.

Jwan Odisho is licensed to practice in Arizona (license number 269456) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912668500.

Contact Information

	Jwan Odisho, AGACNP
	1900 N Higley Rd, Gilbert, AZ 85234-1604
	(480) 543-2363
	Not Available

Map and Direction

Provider's Profile

Full Name	Jwan Odisho
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1900 N Higley Rd, Gilbert, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jwan Odisho graduated from nursing school in 2021

NPI Data:

NPI Number: 1912668500
Provider Enumeration Date: 01/05/2022
Last Update Date: 03/07/2022

Medicare PECOS Information:

PECOS PAC ID: 8224421359
Enrollment ID: I20220211001752

Medical Identifiers

Medical identifiers for Jwan Odisho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912668500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WX0200X	Registered Nurse - Oncology	RN208331 (Arizona)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	269456 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Gateway Medical Center	Gilbert, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Cancer Center Specialists Llc	6103097779	261

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. Jwan Odisho allows following entities to bill medicare on her behalf.

Entity Name	Banner Cancer Center Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224

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. Jwan Odisho 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
Jwan Odisho, AGACNP 2255 W Germann Rd Apt 1159, Chandler, AZ 85286-7270 Ph: (847) 714-7116	Jwan Odisho, AGACNP 1900 N Higley Rd, Gilbert, AZ 85234-1604 Ph: (480) 543-2363

Reviews and Comments

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Mrs. Dana M. Rodriguez, N.P., PHD Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6285 S Higley Rd, Gilbert, AZ 85298 Phone: 480-460-4949 Fax: 480-460-5858
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Jwan Odisho, AGACNP - Medicare Nurse Practitioner in Gilbert, AZ