Stephanie Taylor Previc, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Rio Rico, Arizona. Her current practice location is
1103 Circulo Mercado, Rio Rico, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 281-1550.
Stephanie Taylor Previc is licensed to practice in Arizona (license number 242881) 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 1447876602.
Provider's Profile
| Full Name | Stephanie Taylor Previc |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1103 Circulo Mercado, Rio Rico, 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: 1447876602
- Provider Enumeration Date: 06/23/2020
- Last Update Date: 09/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 8022436245
- Enrollment ID: I20200914002847
Medical Identifiers
Medical identifiers for Stephanie Taylor Previc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447876602 | NPI | - | NPPES |
| 079886 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 242881 (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. Stephanie Taylor Previc 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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| Entity Name | El Rio Santa Cruz Neighborhood Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487602736
PECOS PAC ID: 6305739244
Enrollment ID: O20040205000098 |
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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. Stephanie Taylor Previc 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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Stephanie Taylor Previc, FNP-BC
825 N Grand Ave Ste 100,
Nogales, AZ 85621-1061
Ph: (520) 761-2128 | Stephanie Taylor Previc, FNP-BC
1103 Circulo Mercado,
Rio Rico, AZ 85648-6248
Ph: (520) 281-1550 |
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