Ms Teresa Angelica Colunga, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tubac, Arizona. Her current practice location is
2221 E Frontage Rd, Bldg G Ste 101/bldg F-ste 104, Tubac, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 281-1550.
Ms Teresa Angelica Colunga is licensed to practice in Arizona (license number AP4918) 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 1023359429.
Provider's Profile
| Full Name | Ms Teresa Angelica Colunga |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2221 E Frontage Rd, Tubac, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023359429
- Provider Enumeration Date: 03/09/2013
- Last Update Date: 01/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032350699
- Enrollment ID: I20130724000091
Medical Identifiers
Medical identifiers for Ms Teresa Angelica Colunga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023359429 | NPI | - | NPPES |
| 833232 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP4918 (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. Ms Teresa Angelica Colunga allows following entities to bill medicare on her behalf.
| Entity Name | Mariposa Community Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417985474
PECOS PAC ID: 8123926326
Enrollment ID: O20031226000065 |
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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 Teresa Angelica Colunga 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 |
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Ms Teresa Angelica Colunga, FNP-C
825 N Grand Ave Ste 100,
Nogales, AZ 85621-1061
Ph: (520) 761-2133 | Ms Teresa Angelica Colunga, FNP-C
2221 E Frontage Rd, Bldg G Ste 101/bldg F-ste 104,
Tubac, AZ 85646-1063
Ph: (520) 281-1550 |
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