Trent W Edstrom, NURSE PRACTITIONER in Phoenix, AZ

Trent W Edstrom, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Primary Care" in Phoenix, Arizona. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Akdhc Llc and his current practice location is 4901 W Mcdowell Rd Ste 110, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 849-9088.

Trent W Edstrom is licensed to practice in Arizona (license number 233523) 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 1558957811.

Contact Information

	Trent W Edstrom, NURSE PRACTITIONER
	4901 W Mcdowell Rd Ste 110, Phoenix, AZ 85035-4160
	(623) 849-9088
	(623) 849-9065

Map and Direction

Provider's Profile

Full Name	Trent W Edstrom
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	4901 W Mcdowell Rd Ste 110, Phoenix, Arizona
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:

Trent W Edstrom graduated from nursing school in 2020

NPI Data:

NPI Number: 1558957811
Provider Enumeration Date: 12/21/2020
Last Update Date: 05/20/2021

Medicare PECOS Information:

PECOS PAC ID: 6103231014
Enrollment ID: I20210225003405

Medical Identifiers

Medical identifiers for Trent W Edstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558957811	NPI	-	NPPES
087425	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	233523 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Akdhc Llc	8123912136	124

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. Trent W Edstrom allows following entities to bill medicare on his behalf.

Entity Name	Akdhc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316902208 PECOS PAC ID: 8123912136 Enrollment ID: O20040211000250

Entity Name	Monogram Health Professional Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952917122 PECOS PAC ID: 4880004183 Enrollment ID: O20210208002193

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. Trent W Edstrom 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
Trent W Edstrom, NURSE PRACTITIONER 6622 N 91st Ave Ste 220, Glendale, AZ 85305-2569 Ph: (602) 759-6883	Trent W Edstrom, NURSE PRACTITIONER 4901 W Mcdowell Rd Ste 110, Phoenix, AZ 85035-4160 Ph: (623) 849-9088

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
Miss Kimara Vaughn, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Van Buren St, Phoenix, AZ 85008 Phone: 602-273-9999
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919

Trent W Edstrom, NURSE PRACTITIONER - Medicare Nurse Practitioner in Phoenix, AZ