Tina Marie Pristach-patrick, FNP-BC in Marana, AZ

Tina Marie Pristach-patrick, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Marana, Arizona. Her current practice location is 5224 W Dove Centre Rd, Marana, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 616-1445.

Tina Marie Pristach-patrick is licensed to practice in Arizona (license number AP4179) 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 1982985057.

Contact Information

	Tina Marie Pristach-patrick, FNP-BC
	5224 W Dove Centre Rd, Marana, AZ 85658-5063
	(520) 616-1445
	(520) 616-1446

Map and Direction

Provider's Profile

Full Name	Tina Marie Pristach-patrick
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5224 W Dove Centre Rd, Marana, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982985057
Provider Enumeration Date: 09/02/2011
Last Update Date: 02/23/2021

Medicare PECOS Information:

PECOS PAC ID: 3577736719
Enrollment ID: I20111102000940

Medical Identifiers

Medical identifiers for Tina Marie Pristach-patrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982985057	NPI	-	NPPES
667808	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP4179 (Arizona)	Primary
363LP2300X	Nurse Practitioner - Primary Care	AP4179 (Arizona)	Secondary

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. Tina Marie Pristach-patrick allows following entities to bill medicare on her behalf.

Entity Name	Emil H Annabi Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245635390 PECOS PAC ID: 0941511109 Enrollment ID: O20150616002315

Entity Name	Northwest Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528683455 PECOS PAC ID: 9830506062 Enrollment ID: O20210406000001

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. Tina Marie Pristach-patrick 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
Tina Marie Pristach-patrick, FNP-BC Po Box 188, Marana, AZ 85653-0188 Ph: (520) 682-4111	Tina Marie Pristach-patrick, FNP-BC 5224 W Dove Centre Rd, Marana, AZ 85658-5063 Ph: (520) 616-1445

Reviews and Comments

Nurse Practitioner Nurses in Marana, AZ

Phyllis Lee Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11535 W Minneola Dr, Marana, AZ 85653 Phone: 520-237-8543
Susan Theresa Mulkey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13644 N Sandario Rd, Marana, AZ 85653 Phone: 520-682-4560 Fax: 520-682-4570
Megan Gerene Vettorel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38163 S Cattle Tank Rd, Marana, AZ 85658 Phone: 520-310-4008
Ashley Amber Couch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12323 N Feather Song Ave, Marana, AZ 85658 Phone: 520-256-6035
Jeremy Damon Pata, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10308 W Robertson St, Marana, AZ 85653 Phone: 520-822-4534
Dr. Daniel Opiyo Maduma, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13395 N Marana Main St, Marana, AZ 85653 Phone: 520-682-4111 Fax: 520-682-3817
Dr. Sarah Anne Netherton, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13395 N Marana Main St, Marana, AZ 85653 Phone: 520-682-4111 Fax: 520-682-3817

Tina Marie Pristach-patrick, FNP-BC - Medicare Nurse Practitioner in Marana, AZ