Tracie Lorraine Gadler, NP in San Diego, CA - Medicare Nurse Practitioner

Tracie Lorraine Gadler, NP is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 4077 Fifth Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 565-3892.

Tracie Lorraine Gadler is licensed to practice in California (license number 16862) 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 1063828671.

Contact Information

	Tracie Lorraine Gadler, NP
	4077 Fifth Ave, San Diego, CA 92103-2105
	(619) 565-3892
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracie Lorraine Gadler
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4077 Fifth Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063828671
Provider Enumeration Date: 07/02/2014
Last Update Date: 01/19/2016

Medicare PECOS Information:

PECOS PAC ID: 6608172002
Enrollment ID: I20160310002500

Medical Identifiers

Medical identifiers for Tracie Lorraine Gadler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063828671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	613828 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	16862 (California)	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. Tracie Lorraine Gadler allows following entities to bill medicare on her behalf.

Entity Name	Pacific Emergency Providers A Prof Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497790539 PECOS PAC ID: 1557327608 Enrollment ID: O20041209000658

Entity Name	Clinic Services Of California Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394

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. Tracie Lorraine Gadler 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
Tracie Lorraine Gadler, NP 4077 Fifth Ave, San Diego, CA 92103-2105 Ph: (619) 565-3892	Tracie Lorraine Gadler, NP 4077 Fifth Ave, San Diego, CA 92103-2105 Ph: (619) 565-3892

Reviews and Comments

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Tracie Lorraine Gadler, NP - Medicare Nurse Practitioner in San Diego, CA