Mayra Elizondo, FNP-C in Tyler, TX - Medicare Nurse Practitioner

Mayra Elizondo, FNP-C is a medicare enrolled "Nurse Practitioner" in Tyler, Texas. Her current practice location is 1133 Medical Dr, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 595-5486.

Mayra Elizondo is licensed to practice in Texas (license number AP1097801) 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 1073120762.

Contact Information

	Mayra Elizondo, FNP-C
	1133 Medical Dr, Tyler, TX 75701-2130
	(903) 595-5486
	(903) 595-5128

Map and Direction

Provider's Profile

Full Name	Mayra Elizondo
Gender	Female
Speciality	Nurse Practitioner
Location	1133 Medical Dr, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073120762
Provider Enumeration Date: 09/26/2020
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 0042689192
Enrollment ID: I20221212001468

Medical Identifiers

Medical identifiers for Mayra Elizondo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073120762	NPI	-	NPPES
944960	Other	TX	RN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	944960 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	AP1097801 (Texas)	Secondary
363L00000X	Nurse Practitioner	AP1097801 (Texas)	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. Mayra Elizondo allows following entities to bill medicare on her behalf.

Entity Name	Tyler Nephrology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942360326 PECOS PAC ID: 6901862242 Enrollment ID: O20041208000236

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. Mayra Elizondo 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
Mayra Elizondo, FNP-C 1133 Medical Dr, Tyler, TX 75701-2130 Ph: (903) 595-5486	Mayra Elizondo, FNP-C 1133 Medical Dr, Tyler, TX 75701-2130 Ph: (903) 595-5486

Reviews and Comments

Nurse Practitioner Nurses in Tyler, TX

Brandi Dunford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702 Phone: 903-606-7995
Jacob G Thoele, AGACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-606-8718 Fax: 903-606-1218
Abram Ambriz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Anna Elise Fenton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6210 S Broadway Ave, Tyler, TX 75703 Phone: 903-579-2700 Fax: 903-579-2799
Mary Anne Fitzgerald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Broadway Ave, Tyler, TX 75702 Phone: 903-535-0023 Fax: 903-535-0052
Rendall Northcutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200 Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211

Mayra Elizondo, FNP-C - Medicare Nurse Practitioner in Tyler, TX