Mrs Jacqueline Lizardo Guzman, ARNP in Phoenix, AZ

Mrs Jacqueline Lizardo Guzman, ARNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Phoenix, Arizona. Her current practice location is Envision Physician Services, 645 E. Missouri Ave. Ste 205, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 476-8962.

Mrs Jacqueline Lizardo Guzman is licensed to practice in Arizona (license number AP8686) 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 1497949499.

Contact Information

	Mrs Jacqueline Lizardo Guzman, ARNP
	Envision Physician Services, 645 E. Missouri Ave. Ste 205, Phoenix, AZ 85012
	(602) 476-8962
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jacqueline Lizardo Guzman
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	Envision Physician Services, 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: 1497949499
Provider Enumeration Date: 09/01/2007
Last Update Date: 02/01/2019

Medicare PECOS Information:

PECOS PAC ID: 8224267380
Enrollment ID: I20201012002349

Medical Identifiers

Medical identifiers for Mrs Jacqueline Lizardo Guzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497949499	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	8941 (Wisconsin)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	AP8686 (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 Jacqueline Lizardo Guzman allows following entities to bill medicare on her behalf.

Entity Name	Phoenix Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

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 Jacqueline Lizardo Guzman 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 Jacqueline Lizardo Guzman, ARNP 427 Shady Valley Dr, Allen, TX 75002-1701 Ph: (469) 500-2458	Mrs Jacqueline Lizardo Guzman, ARNP Envision Physician Services, 645 E. Missouri Ave. Ste 205, Phoenix, AZ 85012 Ph: (602) 476-8962

Reviews and Comments

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Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
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Mrs Jacqueline Lizardo Guzman, ARNP - Medicare Nurse Practitioner in Phoenix, AZ