Tracey Joanne Fender, PNP in Tuba City, AZ - Medicare Nurse Practitioner

Tracey Joanne Fender, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Tuba City, Arizona. Her current practice location is 167 North Main St., Tuba City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 283-2679.

Tracey Joanne Fender is licensed to practice in Arizona (license number AP2858) 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 1275729832.

Contact Information

	Tracey Joanne Fender, PNP
	167 North Main St., Tuba City, AZ 86045
	(928) 283-2679
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracey Joanne Fender
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	167 North Main St., Tuba City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275729832
Provider Enumeration Date: 09/18/2007
Last Update Date: 05/16/2013

Medicare PECOS Information:

PECOS PAC ID: 2264679943
Enrollment ID: I20130517000061

Medical Identifiers

Medical identifiers for Tracey Joanne Fender such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275729832	NPI	-	NPPES
RN2271333	Other	MA	STATE
AP2858	Other	AZ	AZ STATE BOARD OF NURSING
064991-23	Other	NH	STATE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	AP2858 (Arizona)	Primary
363LP0200X	Nurse Practitioner - Pediatrics	064991-23 (New Hampshire)	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. Tracey Joanne Fender allows following entities to bill medicare on her behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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. Tracey Joanne Fender 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
Tracey Joanne Fender, PNP 167 North Main St., Tuba City, AZ 86045 Ph: (928) 283-2679	Tracey Joanne Fender, PNP 167 North Main St., Tuba City, AZ 86045 Ph: (928) 283-2679

Reviews and Comments

Nurse Practitioner Nurses in Tuba City, AZ

Ms. Deanna Jane Kristofic, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501
Patricia Anne Bartholomew, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Kirk Shim, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501
Leanne J Muniz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Katherine Bussard, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 167 N Main Street, Tuba City, AZ 86045 Phone: 928-283-2501
Ms. Terris M Thompson, MSN,WHCNP-BC FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 167 N. Main, Tuba City, AZ 86045 Phone: 928-283-2501

Tracey Joanne Fender, PNP - Medicare Nurse Practitioner in Tuba City, AZ