Mrs Jaimie Lukose, NP in Phoenix, AZ - Medicare Nurse Practitioner

Mrs Jaimie Lukose, NP is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. Her current practice location is 4222 N 12th St Ste 200, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 795-9223.

Mrs Jaimie Lukose is licensed to practice in Arizona (license number 237099) 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 1457129819.

Contact Information

	Mrs Jaimie Lukose, NP
	4222 N 12th St Ste 200, Phoenix, AZ 85014-6024
	(602) 795-9223
	(602) 795-9728

Map and Direction

Provider's Profile

Full Name	Mrs Jaimie Lukose
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4222 N 12th St Ste 200, 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: 1457129819
Provider Enumeration Date: 12/15/2023
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 9436592003
Enrollment ID: I20240210000697

Medical Identifiers

Medical identifiers for Mrs Jaimie Lukose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457129819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	237099 (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 Jaimie Lukose allows following entities to bill medicare on her behalf.

Entity Name	Phoenix Health Practitioners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205525839 PECOS PAC ID: 9830552835 Enrollment ID: O20230823003720

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 Jaimie Lukose 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 Jaimie Lukose, NP 4222 N 12th St Ste 200, Phoenix, AZ 85014-6024 Ph: (027) 959-2236	Mrs Jaimie Lukose, NP 4222 N 12th St Ste 200, Phoenix, AZ 85014-6024 Ph: (602) 795-9223

Reviews and Comments

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Mrs Jaimie Lukose, NP - Medicare Nurse Practitioner in Phoenix, AZ