Traci Mancuso, APRN in Cave Creek, AZ - Medicare Nurse Practitioner

Traci Mancuso, APRN is a medicare enrolled "Nurse Practitioner - Family" in Cave Creek, Arizona. Her current practice location is 4425 E Villa Cassandra Way, Cave Creek, Arizona. You can reach out to her office (for appointments etc.) via phone at (206) 755-6699.

Traci Mancuso is licensed to practice in Arizona (license number 289174) 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 1619069226.

Contact Information

	Traci Mancuso, APRN
	4425 E Villa Cassandra Way, Cave Creek, AZ 85331-9564
	(206) 755-6699
	(480) 847-2271

Map and Direction

Provider's Profile

Full Name	Traci Mancuso
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4425 E Villa Cassandra Way, Cave Creek, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619069226
Provider Enumeration Date: 09/29/2006
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6608824503
Enrollment ID: I20230825002749

Medical Identifiers

Medical identifiers for Traci Mancuso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619069226	NPI	-	NPPES
1014638	Medicaid	WA
02961562	Medicaid	NY
9644394	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	289174 (Arizona)	Primary
363LF0000X	Nurse Practitioner - Family	AP30006855 (Washington)	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. Traci Mancuso allows following entities to bill medicare on her behalf.

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

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. Traci Mancuso 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
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

Reviews and Comments

Nurse Practitioner Nurses in Cave Creek, AZ

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: Medicare Enrolled Practice Location: 4705 E Carefree Hwy Ste 103, Cave Creek, AZ 85331 Phone: 480-847-2273 Fax: 480-847-2271

Traci Mancuso, APRN - Medicare Nurse Practitioner in Cave Creek, AZ