Luiz Juan, CRNP in Fort Payne, AL - Medicare Nurse Practitioner

Luiz Juan, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Payne, Alabama. His current practice location is 2605 Gault Ave N Ste 200, Fort Payne, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 996-9121.

Luiz Juan is licensed to practice in Alabama (license number 1-132461) 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 1912446337.

Contact Information

	Luiz Juan, CRNP
	2605 Gault Ave N Ste 200, Fort Payne, AL 35967-3700
	(256) 996-9121
	Not Available

Map and Direction

Provider's Profile

Full Name	Luiz Juan
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2605 Gault Ave N Ste 200, Fort Payne, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912446337
Provider Enumeration Date: 02/17/2017
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 7416224357
Enrollment ID: I20170525001305

Medical Identifiers

Medical identifiers for Luiz Juan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912446337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-132461 (Alabama)	Secondary
364SA2200X	Clinical Nurse Specialist - Adult Health	1-132461 (Alabama)	Secondary
364SG0600X	Clinical Nurse Specialist - Gerontology	1-132461 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	1-132461 (Alabama)	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. Luiz Juan allows following entities to bill medicare on his behalf.

Entity Name	App Of Alabama Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174

Entity Name	Fort Payne Hbp Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740748821 PECOS PAC ID: 7618201302 Enrollment ID: O20190701000565

Entity Name	Dekalb Urgent Care And Wellness Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073150306 PECOS PAC ID: 4880022508 Enrollment ID: O20200311002666

Entity Name	Fort Payne Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346986015 PECOS PAC ID: 3476933219 Enrollment ID: O20220711000934

Entity Name	Gadsden Hb Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750061610 PECOS PAC ID: 4183078561 Enrollment ID: O20231004001282

Entity Name	Em Transform, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285417154 PECOS PAC ID: 6507216454 Enrollment ID: O20231219002105

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. Luiz Juan 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
Luiz Juan, CRNP 100 Forest Ave Nw, Fort Payne, AL 35967-2054 Ph: (256) 996-9121	Luiz Juan, CRNP 2605 Gault Ave N Ste 200, Fort Payne, AL 35967-3700 Ph: (256) 996-9121

Reviews and Comments

Nurse Practitioner Nurses in Fort Payne, AL

Shannon Hilley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Gault Ave N Ste 200, Fort Payne, AL 35967 Phone: 256-997-2855
Lauren Obenlander, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Jordan Rd Sw Ste 300, Fort Payne, AL 35968 Phone: 256-844-2911
Jennifer Frances Hand, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900
Corazon P Alvarado, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2202 Jordan Rd Sw, Fort Payne, AL 35968 Phone: 256-844-2825 Fax: 256-844-1804
Janna Kay Culpepper, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900 Fax: 888-977-1691
Micah Miranda Hilyer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3840 Gault Ave N, Fort Payne, AL 35967 Phone: 256-844-4975 Fax: 256-844-4978
Sarah Elizabeth Gilreath, MSN, PMHNP-BC, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900

Luiz Juan, CRNP - Medicare Nurse Practitioner in Fort Payne, AL