Mrs Mary Jane Wild Sorenson, FNP-C in Show Low, AZ

Mrs Mary Jane Wild Sorenson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Show Low, Arizona. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Mountain Healthcare Llc and her current practice location is 5300 S Sutter Dr Ste A, Show Low, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 251-4244.

Mrs Mary Jane Wild Sorenson is licensed to practice in Arizona (license number AP11648) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851870919.

Contact Information

	Mrs Mary Jane Wild Sorenson, FNP-C
	5300 S Sutter Dr Ste A, Show Low, AZ 85901-8054
	(928) 251-4244
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary Jane Wild Sorenson
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	5300 S Sutter Dr Ste A, Show Low, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mary Jane Wild Sorenson graduated from nursing school in 2018

NPI Data:

NPI Number: 1851870919
Provider Enumeration Date: 08/09/2018
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 8325392061
Enrollment ID: I20181114003617

Medical Identifiers

Medical identifiers for Mrs Mary Jane Wild Sorenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851870919	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP11648 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Summit Healthcare Regional Medical Center	Show low, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Mountain Healthcare Llc	4486058930	10

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 Mary Jane Wild Sorenson allows following entities to bill medicare on her behalf.

Entity Name	Premier Mountain Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881261857 PECOS PAC ID: 4486058930 Enrollment ID: O20210805003605

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 Mary Jane Wild Sorenson 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 Mary Jane Wild Sorenson, FNP-C 1857 N Springer Mountain Dr, Lakeside, AZ 85929-6617 Ph: (520) 730-3074	Mrs Mary Jane Wild Sorenson, FNP-C 5300 S Sutter Dr Ste A, Show Low, AZ 85901-8054 Ph: (928) 251-4244

Reviews and Comments

Nurse Practitioner Nurses in Show Low, AZ

Alison Iverson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2650 E Show Low Lake Rd Ste 1, Show Low, AZ 85901 Phone: 928-537-4300 Fax: 928-537-4320
Kelly Curiel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 S Canyon Ridge Trl, Show Low, AZ 85901 Phone: 251-447-1981
Sarah Garfield, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6758
Lezlie Duckett, NP-PSYCHIATRY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2051 Evergreen Ln Ste B, Show Low, AZ 85901 Phone: 928-537-6841 Fax: 928-532-2192
Katheryn M Johnston, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-532-2199
Mary E Vega, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901 Phone: 928-537-9844 Fax: 928-537-4437
Mrs. Brandie Dianna Griffin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 E Hunt Dr Ste H, Show Low, AZ 85901 Phone: 928-537-6937

Mrs Mary Jane Wild Sorenson, FNP-C - Medicare Nurse Practitioner in Show Low, AZ