| Traci Mancuso, APRN | |
|
4425 E Villa Cassandra Way, Cave Creek, AZ 85331-9564 | |
| (206) 755-6699 | |
| (480) 847-2271 |
| Full Name | Traci Mancuso |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 4425 E Villa Cassandra Way, Cave Creek, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619069226 | NPI | - | NPPES |
| 1014638 | Medicaid | WA | |
| 02961562 | Medicaid | NY | |
| 9644394 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 289174 (Arizona) | Primary |
| 363LF0000X | Nurse Practitioner - Family | AP30006855 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Marys Home Care Services | Reno, NV | Home health agency |
| Infinity Hospice Care Of Reno, Llc | Reno, NV | Hospice |
| Renown Regional Medical Center | Reno, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bruncuso Holdings Llc | 4789043449 | 8 |
| Bruncuso Holdings Llc | 4789043449 | 8 |
| Entity Name | Bruncuso Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497442586 PECOS PAC ID: 4789043449 Enrollment ID: O20230629000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Mancuso, APRN 4425 E Villa Cassandra Way, Cave Creek, AZ 85331-9564 Ph: (206) 755-6699 | Traci Mancuso, APRN 4425 E Villa Cassandra Way, Cave Creek, AZ 85331-9564 Ph: (206) 755-6699 |
Therese G Argyros, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4712 E Dynamite Blvd, Cave Creek, AZ 85331 Phone: 480-342-8711 Fax: 480-342-7077 | |
Alicia M Earley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30845 N Cave Creek Rd Ste 101, Cave Creek, AZ 85331 Phone: 480-488-9220 Fax: 480-488-7014 | |
Dr. Marni Green, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27625 N 44th St, Cave Creek, AZ 85331 Phone: 623-203-2965 | |
Dr. Stephanie Schafer, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28138 N Tatum Blvd, Cave Creek, AZ 85331 Phone: 186-638-9272 | |
Angela Oakley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31009 N 44th St, Cave Creek, AZ 85331 Phone: 602-576-9291 | |
Mr. Brendon Duane Baerg, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4705 E Carefree Hwy Ste 106, Cave Creek, AZ 85331 Phone: 480-575-1142 Fax: 480-575-6781 | |
Bernalyn T Santos, APRN, FNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4705 E Carefree Hwy Ste 103, Cave Creek, AZ 85331 Phone: 480-847-2273 Fax: 480-847-2271 |