Meredith Villarreal, in Glendale, AZ - Medicare Nurse Practitioner

Meredith Villarreal, is a medicare enrolled "Nurse Practitioner - Family" in Glendale, Arizona. Her current practice location is 5048 W Northern Ave Ste 106, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 435-0190.

Meredith Villarreal is licensed to practice in Arizona (license number AP7994) 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 1366819401.

Contact Information

	Meredith Villarreal,
	5048 W Northern Ave Ste 106, Glendale, AZ 85301-1558
	(623) 435-0190
	Not Available

Map and Direction

Provider's Profile

Full Name	Meredith Villarreal
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5048 W Northern Ave Ste 106, 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: 1366819401
Provider Enumeration Date: 08/24/2015
Last Update Date: 08/24/2015

Medicare PECOS Information:

PECOS PAC ID: 2365752037
Enrollment ID: I20210716000516

Medical Identifiers

Medical identifiers for Meredith Villarreal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366819401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP7994 (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. Meredith Villarreal allows following entities to bill medicare on her behalf.

Entity Name	Innovative Platinum Care Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114397056 PECOS PAC ID: 7012210461 Enrollment ID: O20160120000044

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. Meredith Villarreal 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
Meredith Villarreal, 4140 N Central Ave, #2057, Phoenix, AZ 85012-1830 Ph: (623) 330-8388	Meredith Villarreal, 5048 W Northern Ave Ste 106, Glendale, AZ 85301-1558 Ph: (623) 435-0190

Reviews and Comments

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Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381

Meredith Villarreal, - Medicare Nurse Practitioner in Glendale, AZ