Mrs Christen Marissa Fouts, FNP-C in Phoenix, AZ

Mrs Christen Marissa Fouts, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. Her current practice location is 3202 E Greenway Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 325-5577.

Mrs Christen Marissa Fouts is licensed to practice in Arizona (license number 266168) 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 1700540697.

Contact Information

	Mrs Christen Marissa Fouts, FNP-C
	3202 E Greenway Rd, Phoenix, AZ 85032-4548
	(602) 325-5577
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Christen Marissa Fouts
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3202 E Greenway Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700540697
Provider Enumeration Date: 10/26/2021
Last Update Date: 09/05/2024

Medicare PECOS Information:

PECOS PAC ID: 4082001698
Enrollment ID: I20220429001356

Medical Identifiers

Medical identifiers for Mrs Christen Marissa Fouts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700540697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP61599650 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	266168 (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. Mrs Christen Marissa Fouts allows following entities to bill medicare on her behalf.

Entity Name	Gartenberg Family Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295095883 PECOS PAC ID: 3779748249 Enrollment ID: O20120707000003

Entity Name	Iora Senior Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619376456 PECOS PAC ID: 0143520189 Enrollment ID: O20151124001666

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. Mrs Christen Marissa Fouts 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
Mrs Christen Marissa Fouts, FNP-C 2018 N Van Ness Ave, Tempe, AZ 85281-1334 Ph: (602) 405-2062	Mrs Christen Marissa Fouts, FNP-C 3202 E Greenway Rd, Phoenix, AZ 85032-4548 Ph: (602) 325-5577

Reviews and Comments

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Mrs Christen Marissa Fouts, FNP-C - Medicare Nurse Practitioner in Phoenix, AZ