Karen Renee Dunivant, CPNP in Phoenix, AZ - Medicare Nurse Practitioner

Karen Renee Dunivant, CPNP is a medicare enrolled "Nurse Practitioner" in Phoenix, Arizona. Her current practice location is 1920 E. Cambridge Ave, # 302, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 279-1697.

Karen Renee Dunivant is licensed to practice in Arizona (license number 20080169) 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 1063492056.

Contact Information

	Karen Renee Dunivant, CPNP
	1920 E. Cambridge Ave, # 302, Phoenix, AZ 85006
	(602) 279-1697
	(602) 264-0461

Map and Direction

Provider's Profile

Full Name	Karen Renee Dunivant
Gender	Female
Speciality	Nurse Practitioner
Location	1920 E. Cambridge Ave, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063492056
Provider Enumeration Date: 01/18/2006
Last Update Date: 04/14/2011

Medicare PECOS Information:

PECOS PAC ID: 1850551391
Enrollment ID: I20120321000192

Medical Identifiers

Medical identifiers for Karen Renee Dunivant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063492056	NPI	-	NPPES
897598	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP1995 (Arizona)	Secondary
363L00000X	Nurse Practitioner	20080169 (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. Karen Renee Dunivant allows following entities to bill medicare on her behalf.

Entity Name	Phoenix Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

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. Karen Renee Dunivant 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
Karen Renee Dunivant, CPNP 1920 E. Cambridge Ave, # 302, Phoenix, AZ 85006 Ph: (602) 279-1697	Karen Renee Dunivant, CPNP 1920 E. Cambridge Ave, # 302, Phoenix, AZ 85006 Ph: (602) 279-1697

Reviews and Comments

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Karen Renee Dunivant, CPNP - Medicare Nurse Practitioner in Phoenix, AZ