Steven Michael Prudencio, FNP in Odessa, TX - Medicare Nurse Practitioner

Steven Michael Prudencio, FNP is a medicare enrolled "Nurse Practitioner - Family" in Odessa, Texas. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Umpqua Community Health Center Inc and his current practice location is 315 Golder Ave, Suite C, Odessa, Texas. You can reach out to his office (for appointments etc.) via phone at (432) 640-1963.

Steven Michael Prudencio is licensed to practice in Texas (license number AP128729) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811366545.

Contact Information

	Steven Michael Prudencio, FNP
	315 Golder Ave, Suite C, Odessa, TX 79761-5043
	(432) 640-1963
	(432) 640-1875

Map and Direction

Provider's Profile

Full Name	Steven Michael Prudencio
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	315 Golder Ave, Odessa, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Steven Michael Prudencio graduated from nursing school in 2014

NPI Data:

NPI Number: 1811366545
Provider Enumeration Date: 09/23/2015
Last Update Date: 02/08/2017

Medicare PECOS Information:

PECOS PAC ID: 6800170531
Enrollment ID: I20200402001997

Medical Identifiers

Medical identifiers for Steven Michael Prudencio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811366545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP128729 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Roseburg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Umpqua Community Health Center Inc	0345233078	20

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. Steven Michael Prudencio allows following entities to bill medicare on his behalf.

Entity Name	Diane Bolduc
Entity Type	Practitioner - Family Practice
Entity Identifiers	NPI Number: 1174537047 PECOS PAC ID: 8123098175 Enrollment ID: I20040728000594

Entity Name	Umpqua Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396751772 PECOS PAC ID: 0345233078 Enrollment ID: O20040511000463

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. Steven Michael Prudencio 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
Steven Michael Prudencio, FNP Po Box 2129, Odessa, TX 79760-2129 Ph: (432) 640-1963	Steven Michael Prudencio, FNP 315 Golder Ave, Suite C, Odessa, TX 79761-5043 Ph: (432) 640-1963

Reviews and Comments

Nurse Practitioner Nurses in Odessa, TX

Sandra Nieto, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4060 Medical Park Dr, Odessa, TX 79765 Phone: 432-582-2882 Fax: 432-582-2884
Tiffany L Vaught, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 605 E 4th St Ste 203, Odessa, TX 79761 Phone: 432-617-8329
Florenda De Guzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 N Tom Green, Odessa, TX 79761 Phone: 432-580-9876 Fax: 432-580-9877
Mrs. Sarah Joy Bender, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-550-1000
Mrs. Cryselda Ann Russell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 608 N Muskingum Ave, Odessa, TX 79761 Phone: 432-580-9168 Fax: 432-580-8221
Abidemi Yemisi Adeniran, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2401 Fax: 432-640-4778
Morris Al Smith, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Shiloh Rd, Odessa, TX 79762 Phone: 432-552-7913

Steven Michael Prudencio, FNP - Medicare Nurse Practitioner in Odessa, TX