Mr Bruce Fergen, FNP in Glendale, AZ - Medicare Nurse Practitioner

Mr Bruce Fergen, FNP is a medicare enrolled "Nurse Practitioner - Family" in Glendale, Arizona. His current practice location is 18700 N 64th Dr, Ste 201, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 561-9113.

Mr Bruce Fergen is licensed to practice in Arizona (license number AP1912) 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 1770569766.

Contact Information

	Mr Bruce Fergen, FNP
	18700 N 64th Dr, Ste 201, Glendale, AZ 85308-7109
	(623) 561-9113
	(623) 561-6148

Map and Direction

Provider's Profile

Full Name	Mr Bruce Fergen
Gender	Male
Speciality	Nurse Practitioner - Family
Location	18700 N 64th Dr, 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: 1770569766
Provider Enumeration Date: 12/21/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2668411067
Enrollment ID: I20050426000573

Medical Identifiers

Medical identifiers for Mr Bruce Fergen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770569766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP1912 (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. Mr Bruce Fergen allows following entities to bill medicare on his behalf.

Entity Name	Arizona Em-i Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750596771 PECOS PAC ID: 8325034812 Enrollment ID: O20040421000835

Entity Name	Emcare - Pnx Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902855992 PECOS PAC ID: 3779574165 Enrollment ID: O20040524000667

Entity Name	Loop 101 Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376573378 PECOS PAC ID: 0840295481 Enrollment ID: O20061003000466

Entity Name	303 Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518398585 PECOS PAC ID: 2567692528 Enrollment ID: O20140313001083

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. Mr Bruce Fergen 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
Mr Bruce Fergen, FNP 11020 W Hayward Ave, Glendale, AZ 85307-1621 Ph: (602) 872-8888	Mr Bruce Fergen, FNP 18700 N 64th Dr, Ste 201, Glendale, AZ 85308-7109 Ph: (623) 561-9113

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
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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
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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

Mr Bruce Fergen, FNP - Medicare Nurse Practitioner in Glendale, AZ