Mary Ellen Radosevich, FNP-C in Phoenix, AZ - Medicare Nurse Practitioner

Mary Ellen Radosevich, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Primary Care Physicians Arizona Llc and her current practice location is 1300 N 12th St, Edwards Medical Plaza, Suite 405, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 747-4646.

Mary Ellen Radosevich is licensed to practice in Arizona (license number AP3727) 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 1245534726.

Contact Information

	Mary Ellen Radosevich, FNP-C
	1300 N 12th St, Edwards Medical Plaza, Suite 405, Phoenix, AZ 85006-2848
	(602) 747-4646
	(602) 747-3120

Map and Direction

Provider's Profile

Full Name	Mary Ellen Radosevich
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1300 N 12th St, Phoenix, 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:

Mary Ellen Radosevich graduated from nursing school in 2010

NPI Data:

NPI Number: 1245534726
Provider Enumeration Date: 12/27/2010
Last Update Date: 12/27/2010

Medicare PECOS Information:

PECOS PAC ID: 2365692134
Enrollment ID: I20121101000579

Medical Identifiers

Medical identifiers for Mary Ellen Radosevich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245534726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP3727 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Primary Care Physicians Arizona Llc	6406020155	177

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. Mary Ellen Radosevich allows following entities to bill medicare on her behalf.

Entity Name	Banner Primary Care Physicians Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898

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. Mary Ellen Radosevich 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
Mary Ellen Radosevich, FNP-C 1300 N 12th St, Edwards Medical Plaza, Suite 405, Phoenix, AZ 85006-2848 Ph: (602) 747-4646	Mary Ellen Radosevich, FNP-C 1300 N 12th St, Edwards Medical Plaza, Suite 405, Phoenix, AZ 85006-2848 Ph: (602) 747-4646

Reviews and Comments

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Mary Ellen Radosevich, FNP-C - Medicare Nurse Practitioner in Phoenix, AZ