Mr James Marris Pobrislo, CNM/FNP is a
Advanced Practice Midwife based in Whiteriver, Arizona. Mr James Marris Pobrislo is licensed to practice in Alaska (license number 672) and his current practice location is
200 W. Hospital Dr., Whiteriver, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 338-4901.
NPI number for Mr James Marris Pobrislo is 1780690974 and his current mailing address is Po Box 860, Whiteriver, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780690974.
Provider's Profile
| Full Name | Mr James Marris Pobrislo |
|---|
| Gender | Male |
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| Speciality | Advanced Practice Midwife |
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| Location | 200 W. Hospital Dr., Whiteriver, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780690974
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr James Marris Pobrislo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780690974 | NPI | - | NPPES |
| 938764 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 672 (Alaska) | Primary |
| 367A00000X | Advanced Practice Midwife | 672 (Alaska) | Primary |
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 James Marris Pobrislo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr James Marris Pobrislo, CNM/FNP
Po Box 860,
Whiteriver, AZ 85941-0860
Ph: (928) 338-4911 | Mr James Marris Pobrislo, CNM/FNP
200 W. Hospital Dr.,
Whiteriver, AZ 85901
Ph: (928) 338-4901 |
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