Kristin Landavazo, in Glendale, AZ - Medicare Nurse Practitioner

Kristin Landavazo, is a medicare enrolled "Nurse Practitioner - Family" in Glendale, Arizona. Her current practice location is 5555 W Thunderbird Rd, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 865-5555.

Kristin Landavazo is licensed to practice in Arizona (license number F09210833) 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 1598420846.

Contact Information

	Kristin Landavazo,
	5555 W Thunderbird Rd, Glendale, AZ 85306-4622
	(602) 865-5555
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristin Landavazo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5555 W Thunderbird Rd, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598420846
Provider Enumeration Date: 11/02/2021
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 9638535081
Enrollment ID: I20230510001183

Medical Identifiers

Medical identifiers for Kristin Landavazo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598420846	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F09210833 (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. Kristin Landavazo allows following entities to bill medicare on her behalf.

Entity Name	Athena Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164918124 PECOS PAC ID: 8921358706 Enrollment ID: O20180829003049

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. Kristin Landavazo 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
Kristin Landavazo, 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 Ph: (602) 865-5555	Kristin Landavazo, 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 Ph: (602) 865-5555

Reviews and Comments

Nurse Practitioner Nurses in Glendale, AZ

Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306 Phone: 602-865-4442 Fax: 602-865-4507
Kaitlin Spivey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2100
Ruth E Sanders, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5041 N 86th Dr, Glendale, AZ 85305 Phone: 866-389-2727 Fax: 612-659-7101
Kelly Lynn Rauch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7330 N 99th Ave Ste 325, Glendale, AZ 85307 Phone: 623-882-1292 Fax: 623-882-8184
Emma Louise Keltgen, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 Fax: 602-286-0808
Joyce Kim, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302 Phone: 602-773-5546
Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381

Kristin Landavazo, - Medicare Nurse Practitioner in Glendale, AZ