Mrs Micale Renae Dishong, NP in Scottsdale, AZ

Mrs Micale Renae Dishong, NP is a medicare enrolled "Nurse Practitioner" in Scottsdale, Arizona. Her current practice location is 13400 E Shea Blvd, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 301-8000.

Mrs Micale Renae Dishong is licensed to practice in Arizona (license number 296372) 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 1619750932.

Contact Information

	Mrs Micale Renae Dishong, NP
	13400 E Shea Blvd, Scottsdale, AZ 85259-5499
	(480) 301-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Micale Renae Dishong
Gender	Female
Speciality	Nurse Practitioner
Location	13400 E Shea Blvd, Scottsdale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619750932
Provider Enumeration Date: 08/18/2023
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 9436505823
Enrollment ID: I20231020001232

Medical Identifiers

Medical identifiers for Mrs Micale Renae Dishong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619750932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	296372 (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 Micale Renae Dishong allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic Arizona
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558332494 PECOS PAC ID: 7012829930 Enrollment ID: O20031105000782

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 Micale Renae Dishong 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 Micale Renae Dishong, NP 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 Ph: (480) 301-8000	Mrs Micale Renae Dishong, NP 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 Ph: (480) 301-8000

Reviews and Comments

Nurse Practitioner Nurses in Scottsdale, AZ

Mrs. Tamera Ann Youngblood, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14570 E Sweetwater Ave, Scottsdale, AZ 85259 Phone: 602-463-8064 Fax: 800-877-0713
Ira Eunice Arandia Mauro, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9201 E Mountain View Rd, Scottsdale, AZ 85258 Phone: 855-246-6287
Mr. Brett Lee Leifson, APRN MSN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7373 N Scottsdale Rd Ste A199, Scottsdale, AZ 85253 Phone: 702-805-5360 Fax: 702-977-7488
Patricia Li, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15425 N Greenway Hayden Loop Ste A300, Scottsdale, AZ 85260 Phone: 480-607-1124 Fax: 480-607-1087
Marci Farquhar-snow, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Helen Walker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10200 N 92nd St Ste 150, Scottsdale, AZ 85258 Phone: 480-860-8488 Fax: 480-860-8498
Amy L Swanholm, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11333 N Scottsdale Rd Ste 230, Scottsdale, AZ 85254 Phone: 480-631-7373 Fax: 480-631-7374

Mrs Micale Renae Dishong, NP - Medicare Nurse Practitioner in Scottsdale, AZ