Mr Clarence Jason Vastine, FNP-C - Medicare Nurse Practitioner in Goodyear, AZ

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Mr Clarence Jason Vastine, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Goodyear, Arizona. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Integrated Medical Services Inc, Bhsm Rehabilitation Llc and his current practice location is 13555 W Mcdowell Rd Ste 103, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 932-1157.

Mr Clarence Jason Vastine is licensed to practice in Arizona (license number AP3558) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902121379.

Contact Information

Mr Clarence Jason Vastine, FNP-C
13555 W Mcdowell Rd Ste 103,
Goodyear, AZ 85395-2625
(623) 932-1157
(623) 935-1045

Map and Direction




Provider's Profile

Full NameMr Clarence Jason Vastine
GenderMale
SpecialityNurse Practitioner
Experience15 Years
Location13555 W Mcdowell Rd Ste 103, Goodyear, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Clarence Jason Vastine graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1902121379
  • Provider Enumeration Date: 03/29/2010
  • Last Update Date: 08/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7315075751
  • Enrollment ID: I20100505001089

Medical Identifiers

Medical identifiers for Mr Clarence Jason Vastine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902121379NPI-NPPES
510044MedicaidAZ
Z136913OtherAZMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP3558 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Medical Services Inc105232840874
Bhsm Rehabilitation Llc20627731381355

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 Clarence Jason Vastine allows following entities to bill medicare on his behalf.
Entity NameIntegrated Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760441141
PECOS PAC ID: 1052328408
Enrollment ID: O20060309000742

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 Clarence Jason Vastine 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 AddressPractice Location Address
Mr Clarence Jason Vastine, FNP-C
3815 E Bell Rd Ste 4500,
Phoenix, AZ 85032-2171

Ph: (602) 633-3848		Mr Clarence Jason Vastine, FNP-C
13555 W Mcdowell Rd Ste 103,
Goodyear, AZ 85395-2625

Ph: (623) 932-1157

Reviews and Comments


Nurse Practitioner Nurses in Goodyear, AZ

Benilde Mwiseneza,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395
Phone: 623-295-1190    
Miss Kathryn Leigh Miller, ACNPC-AG
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13555 W Mcdowell Rd Ste 203, Goodyear, AZ 85395
Phone: 623-512-4390    
Hussein Haidar,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395
Phone: 623-295-1190    
Amanda Jo Frary, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13555 W Mcdowell Rd Ste 302, Goodyear, AZ 85395
Phone: 623-404-3046    
Shannon Torrez,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 16751 W Shiloh Ave, Goodyear, AZ 85338
Phone: 480-372-7703    
Ana Maria Fuentes, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14415 W Mcdowell Rd Ste D102, Goodyear, AZ 85395
Phone: 623-512-4190    Fax: 623-512-4194
Yvette Thorson, PA
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 750 N Estrella Pkwy Ste 60, Goodyear, AZ 85338
Phone: 623-321-5079    Fax: 623-321-5083

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.