Ms Augustine Julie Prodjinotho, in Yuma, AZ - Medicare Nurse Practitioner

Ms Augustine Julie Prodjinotho, is a medicare enrolled "Nurse Practitioner - Family" in Yuma, Arizona. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Yuma Regional Medical Center and her current practice location is 3910 S Brianna Dr, Yuma, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 503-6643.

Ms Augustine Julie Prodjinotho is licensed to practice in Arizona (license number 259971) 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 1770233355.

Contact Information

	Ms Augustine Julie Prodjinotho,
	3910 S Brianna Dr, Yuma, AZ 85365-1403
	(928) 503-6643
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Augustine Julie Prodjinotho
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	3910 S Brianna Dr, Yuma, 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:

Ms Augustine Julie Prodjinotho graduated from nursing school in 2021

NPI Data:

NPI Number: 1770233355
Provider Enumeration Date: 03/25/2022
Last Update Date: 06/13/2022

Medicare PECOS Information:

PECOS PAC ID: 4385026483
Enrollment ID: I20220805002856

Medical Identifiers

Medical identifiers for Ms Augustine Julie Prodjinotho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770233355	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	259971 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yuma Regional Medical Center	Yuma, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Yuma Regional Medical Center	2062314826	284

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. Ms Augustine Julie Prodjinotho allows following entities to bill medicare on her behalf.

Entity Name	Yuma Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194706655 PECOS PAC ID: 2062314826 Enrollment ID: O20040122000526

Entity Name	Nextcare Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357

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. Ms Augustine Julie Prodjinotho 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
Ms Augustine Julie Prodjinotho, 2400 S Avenue A, Yuma, AZ 85364-7170 Ph: (928) 336-1801	Ms Augustine Julie Prodjinotho, 3910 S Brianna Dr, Yuma, AZ 85365-1403 Ph: (928) 503-6643

Reviews and Comments

Nurse Practitioner Nurses in Yuma, AZ

Carolyne Adero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2189 S Avenue A Ste A, Yuma, AZ 85364 Phone: 928-276-4381 Fax: 928-276-4381
Desarae Ann Kramer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 S Parkview Loop Ste 3, Yuma, AZ 85364 Phone: 928-336-7846
Irene Villalpando, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2270 S Ridgeview Dr Ste 303, Yuma, AZ 85364 Phone: 928-782-1903 Fax: 928-782-1703
Mario Vazquez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 S Avenue A Ste A104, Yuma, AZ 85364 Phone: 928-336-2165
Rosa Susana Abarca, FNP-BC, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3250 E 40th St, Yuma, Az 85365, Yuma, AZ 85364 Phone: 928-373-6743
Rabia Khan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2060 W 24th St, Yuma, AZ 85364 Phone: 928-819-8999 Fax: 928-539-5579
Ms. Apryl Alexandra Sharon Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11518 N Frontage Rd, Yuma, AZ 85367 Phone: 928-342-6500 Fax: 928-342-6863

Ms Augustine Julie Prodjinotho, - Medicare Nurse Practitioner in Yuma, AZ