Davita Adanuvor, in Espanola, NM - Medicare Nurse Practitioner

Davita Adanuvor, is a medicare enrolled "Nurse Practitioner - Acute Care" in Espanola, New Mexico. Her current practice location is 807 Calle Chamisal, Espanola, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 372-4511.

Davita Adanuvor is licensed to practice in New Mexico (license number CNP-02206) 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 1629417621.

Contact Information

	Davita Adanuvor,
	807 Calle Chamisal, Espanola, NM 87532-2976
	(505) 372-4511
	Not Available

Map and Direction

Provider's Profile

Full Name	Davita Adanuvor
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	807 Calle Chamisal, Espanola, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629417621
Provider Enumeration Date: 06/24/2013
Last Update Date: 04/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5799910378
Enrollment ID: I20221228002803

Medical Identifiers

Medical identifiers for Davita Adanuvor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629417621	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	CNP-02206 (New Mexico)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61160839 (Washington)	Secondary

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. Davita Adanuvor allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. Davita Adanuvor 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
Davita Adanuvor, 807 Calle Chamisal, Espanola, NM 87532-2976 Ph: (505) 372-4511	Davita Adanuvor, 807 Calle Chamisal, Espanola, NM 87532-2976 Ph: (505) 372-4511

Reviews and Comments

Nurse Practitioner Nurses in Espanola, NM

Bailey Pearson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0340
Mr. Stephen Lynn Mason, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 N Paseo De Onate, Espanola, NM 87532 Phone: 505-747-0081
Dr. Keith Bryan Haynie, DNP, RN, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 S Coronado Ave, Espanola, NM 87532 Phone: 860-788-6404 Fax: 860-398-6441
Kimberly Allen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111
Jonathan C Peachey, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438
Leticia A Luketich Martinez, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7218 Fax: 505-747-7396
Tiffin Marie Zellers, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1308 N Orchard, Espanola, NM 87532 Phone: 505-927-0157 Fax: 855-928-4040

Davita Adanuvor, - Medicare Nurse Practitioner in Espanola, NM