Ms Johnna Gigi Hayse, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Tucson, Arizona. Her current practice location is
7494 N La Cholla Blvd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 395-0512.
Ms Johnna Gigi Hayse is licensed to practice in Arizona (license number 222971) 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 1962742049.
Physician's Profile
| Full Name | Ms Johnna Gigi Hayse |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 7494 N La Cholla Blvd, Tucson, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962742049
- Provider Enumeration Date: 02/26/2013
- Last Update Date: 11/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 3779726922
- Enrollment ID: I20190526000008
Medical Identifiers
Medical identifiers for Ms Johnna Gigi Hayse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962742049 | NPI | - | NPPES |
| 514328 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 222971 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 222971 (Arizona) | 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. Ms Johnna Gigi Hayse allows following entities to bill medicare on her behalf.
| Entity Name | Southwest Sports And Spine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033448576
PECOS PAC ID: 8527103076
Enrollment ID: O20100308000879 |
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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. Ms Johnna Gigi Hayse 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 |
|---|
Ms Johnna Gigi Hayse, FNP-C
7494 N La Cholla Blvd,
Tucson, AZ 85741-2306
Ph: (520) 395-0542 | Ms Johnna Gigi Hayse, FNP-C
7494 N La Cholla Blvd,
Tucson, AZ 85741
Ph: (520) 395-0512 |
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