Mrs Suja Varghese, FNP-C in Laveen, AZ - Medicare Nurse Practitioner

Mrs Suja Varghese, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Laveen, Arizona. Her current practice location is 17487 S Healthcare Dr, Laveen, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 528-1200.

Mrs Suja Varghese is licensed to practice in Arizona (license number 310176) 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 1144052564.

Contact Information

	Mrs Suja Varghese, FNP-C
	17487 S Healthcare Dr, Laveen, AZ 85339-8500
	(602) 528-1200
	(520) 550-6292

Map and Direction

Provider's Profile

Full Name	Mrs Suja Varghese
Gender	Female
Speciality	Nurse Practitioner - Family
Location	17487 S Healthcare Dr, Laveen, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144052564
Provider Enumeration Date: 08/15/2024
Last Update Date: 01/13/2025

Medicare PECOS Information:

PECOS PAC ID: 6103357538
Enrollment ID: I20241009000980

Medical Identifiers

Medical identifiers for Mrs Suja Varghese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144052564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	310176 (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 Suja Varghese allows following entities to bill medicare on her behalf.

Entity Name	Southwest Kidney Institute Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659316008 PECOS PAC ID: 8224930987 Enrollment ID: O20040211001069

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 Suja Varghese 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 Suja Varghese, FNP-C Komatke Health Center, 17487 S. Health Care Dr., Laveen, AZ 85339 Ph: (602) 528-7940	Mrs Suja Varghese, FNP-C 17487 S Healthcare Dr, Laveen, AZ 85339-8500 Ph: (602) 528-1200

Reviews and Comments

Nurse Practitioner Nurses in Laveen, AZ

Kendall Karn, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4070 W Winston Dr, Laveen, AZ 85339 Phone: 928-580-1517
Mrs. Stephanie Ann Wolz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5050 W Baseline Rd, Laveen, AZ 85339 Phone: 602-237-8681 Fax: 602-599-4576
Sukran Hong, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8821 S 40th Dr, Laveen, AZ 85339 Phone: 480-231-7778
Mr. Jesse Cisneros Jimenez Jr., MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7205 S 51st Ave, Laveen, AZ 85339 Phone: 602-358-7073 Fax: 888-927-0409
Isin Santos, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7205 S 51st Ave Ste 203, Laveen, AZ 85339 Phone: 602-358-7073 Fax: 888-927-0409
Norbert N Mwangi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5099 W Dobbins Rd Unit B, Laveen, AZ 85339 Phone: 602-688-2338

Mrs Suja Varghese, FNP-C - Medicare Nurse Practitioner in Laveen, AZ