Tabatha Grace, in Show Low, AZ - Medicare Nurse Practitioner

Tabatha Grace, is a medicare enrolled "Nurse Practitioner - Family" in Show Low, Arizona. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Changepoint Integrated Health and her current practice location is 1500 S White Mountain Rd Bldg 3, Show Low, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 532-5838.

Tabatha Grace is licensed to practice in Arizona (license number 254322) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104402338.

Contact Information

	Tabatha Grace,
	1500 S White Mountain Rd Bldg 3, Show Low, AZ 85901-7111
	(928) 532-5838
	Not Available

Map and Direction

Provider's Profile

Full Name	Tabatha Grace
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1500 S White Mountain Rd Bldg 3, Show Low, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tabatha Grace graduated from nursing school in 2020

NPI Data:

NPI Number: 1104402338
Provider Enumeration Date: 03/18/2021
Last Update Date: 03/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6608284492
Enrollment ID: I20210415001531

Medical Identifiers

Medical identifiers for Tabatha Grace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104402338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	254322 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Summit Healthcare Regional Medical Center	Show low, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Changepoint Integrated Health	8123004587	15

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. Tabatha Grace allows following entities to bill medicare on her behalf.

Entity Name	Changepoint Integrated Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205877610 PECOS PAC ID: 8123004587 Enrollment ID: O20040625001074

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. Tabatha Grace 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
Tabatha Grace, 1300 S Main St, Snowflake, AZ 85937-5661 Ph: (928) 536-5525	Tabatha Grace, 1500 S White Mountain Rd Bldg 3, Show Low, AZ 85901-7111 Ph: (928) 532-5838

Reviews and Comments

Nurse Practitioner Nurses in Show Low, AZ

Kelly Curiel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 S Canyon Ridge Trl, Show Low, AZ 85901 Phone: 251-447-1981
Sarah Garfield, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6758
Lezlie Duckett, NP-PSYCHIATRY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2051 Evergreen Ln Ste B, Show Low, AZ 85901 Phone: 928-537-6841 Fax: 928-532-2192
Katheryn M Johnston, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-532-2199
Mary E Vega, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901 Phone: 928-537-9844 Fax: 928-537-4437
Mrs. Brandie Dianna Griffin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 E Hunt Dr Ste H, Show Low, AZ 85901 Phone: 928-537-6937

Tabatha Grace, - Medicare Nurse Practitioner in Show Low, AZ