Ms Theresa Rodzevik, RN, MSN, FNP in Whiteriver, AZ

Ms Theresa Rodzevik, RN, MSN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Whiteriver, Arizona. Her current practice location is 200 West Hospital Drive, Whiteriver, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 338-4911.

Ms Theresa Rodzevik is licensed to practice in Arizona (license number AP4329) 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 1972826436.

Contact Information

	Ms Theresa Rodzevik, RN, MSN, FNP
	200 West Hospital Drive, Whiteriver, AZ 85941
	(928) 338-4911
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Theresa Rodzevik
Gender	Female
Speciality	Nurse Practitioner - Family
Location	200 West Hospital Drive, Whiteriver, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972826436
Provider Enumeration Date: 03/11/2010
Last Update Date: 03/19/2013

Medicare PECOS Information:

PECOS PAC ID: 8628230794
Enrollment ID: I20120612000146

Medical Identifiers

Medical identifiers for Ms Theresa Rodzevik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972826436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001190377 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	AP4329 (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 Theresa Rodzevik allows following entities to bill medicare on her behalf.

Entity Name	Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797

Entity Name	Pine Ridge Indian Health Service Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966

Entity Name	Dhhs Ihs Phoenix Area
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148

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 Theresa Rodzevik 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 Theresa Rodzevik, RN, MSN, FNP 3146 E Coolidge St, Phoenix, AZ 85016-5070 Ph: (703) 402-1258	Ms Theresa Rodzevik, RN, MSN, FNP 200 West Hospital Drive, Whiteriver, AZ 85941 Ph: (928) 338-4911

Reviews and Comments

Nurse Practitioner Nurses in Whiteriver, AZ

Mrs. Michelle Martinez, FNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 West Hospital Road, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-3522
Bernadyne Agan, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-4911
Mr. Scott Peake, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 West Hospital Drive, Box 860, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-3522
Ms. Marylou Karambizi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-5508
Mr. Gerald Spinner, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 W. Hospital Dr., Indian Health Hospital, Whiteriver, AZ 85941 Phone: 928-338-4911
Mr. Troy Lee Johnson, CFNP, CRNA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 W. Hospital Dr, Whiteriver, AZ 85941 Phone: 928-338-4911
Mr. James Marris Pobrislo, CNM/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 W. Hospital Dr., Whiteriver, AZ 85901 Phone: 928-338-4901 Fax: 928-338-3502

Ms Theresa Rodzevik, RN, MSN, FNP - Medicare Nurse Practitioner in Whiteriver, AZ