Mr Edgar Esteban Portillo, FNP-BC in Tucson, AZ

Mr Edgar Esteban Portillo, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Tucson, Arizona. His current practice location is 1310 W Saint Marys Rd, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 622-1366.

Mr Edgar Esteban Portillo is licensed to practice in Arizona (license number AP3259) 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 1467690701.

Contact Information

	Mr Edgar Esteban Portillo, FNP-BC
	1310 W Saint Marys Rd, Tucson, AZ 85745-3170
	(520) 622-1366
	(520) 622-1384

Map and Direction

Provider's Profile

Full Name	Mr Edgar Esteban Portillo
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1310 W Saint Marys Rd, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467690701
Provider Enumeration Date: 01/24/2009
Last Update Date: 12/13/2011

Medicare PECOS Information:

PECOS PAC ID: 0143509216
Enrollment ID: I20161111001564

Medical Identifiers

Medical identifiers for Mr Edgar Esteban Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467690701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP3259 (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 Edgar Esteban Portillo allows following entities to bill medicare on his behalf.

Entity Name	Tucson Physician Group Holdings Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261

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 Edgar Esteban Portillo 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 Edgar Esteban Portillo, FNP-BC 1310 W Saint Marys Rd, Tucson, AZ 85745-3170 Ph: (520) 622-1366	Mr Edgar Esteban Portillo, FNP-BC 1310 W Saint Marys Rd, Tucson, AZ 85745-3170 Ph: (520) 622-1366

Reviews and Comments

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Mr Edgar Esteban Portillo, FNP-BC - Medicare Nurse Practitioner in Tucson, AZ