Utibe Joshua Etudor, NP in Prescott, AZ - Medicare Nurse Practitioner

Utibe Joshua Etudor, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Prescott, Arizona. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Yavapai Regional Medical Center Physician Care, Llc and his current practice location is 810 Ainsworth Dr Ste A, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 771-5548.

Utibe Joshua Etudor is licensed to practice in Arizona (license number 234106) 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 1538725916.

Contact Information

	Utibe Joshua Etudor, NP
	810 Ainsworth Dr Ste A, Prescott, AZ 86301-1612
	(928) 771-5548
	(928) 771-5549

Map and Direction

Provider's Profile

Full Name	Utibe Joshua Etudor
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	810 Ainsworth Dr Ste A, Prescott, 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:

Utibe Joshua Etudor graduated from nursing school in 2018

NPI Data:

NPI Number: 1538725916
Provider Enumeration Date: 05/11/2019
Last Update Date: 12/07/2022

Medicare PECOS Information:

PECOS PAC ID: 8527493287
Enrollment ID: I20200127002448

Medical Identifiers

Medical identifiers for Utibe Joshua Etudor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538725916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	234106 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yavapai Regional Medical Center	Prescott, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Yavapai Regional Medical Center Physician Care, Llc	5294898987	119

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. Utibe Joshua Etudor allows following entities to bill medicare on his behalf.

Entity Name	Yavapai Regional Medical Center Physician Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798

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. Utibe Joshua Etudor 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
Utibe Joshua Etudor, NP Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5874	Utibe Joshua Etudor, NP 810 Ainsworth Dr Ste A, Prescott, AZ 86301-1612 Ph: (928) 771-5548

Reviews and Comments

Nurse Practitioner Nurses in Prescott, AZ

Nancy Concepcion Rosales, APRN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238
Mr. Donald Lee Pierce, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 N Pearl Ln, Prescott, AZ 86301 Phone: 602-526-0628
Mrs. Brenda A. Austin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3165 Stillwater Dr, Prescott, AZ 86305 Phone: 928-277-0875 Fax: 608-716-2838
Mr. Galen Francis Richmond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-5458
Nathan William Farnsworth, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 642 Dameron Dr, Prescott, AZ 86301 Phone: 928-445-5211
Mrs. Susan Elaine Spear, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-8458
Catherine A Kefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5430 Landmark Ln, Prescott, AZ 86301 Phone: 971-262-9600

Utibe Joshua Etudor, NP - Medicare Nurse Practitioner in Prescott, AZ