Tracie Baretela, PA is a medicare enrolled "Physician Assistant" in Dilkon, Arizona. She graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
Hc 63 Box 9000, Dilkon, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 657-1000.
Tracie Baretela is licensed to practice in Arizona (license number 9887) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699734335.
Provider's Profile
| Full Name | Tracie Baretela |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 20 Years |
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| Location | Hc 63 Box 9000, Dilkon, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tracie Baretela graduated from nursing school in 2006
NPI Data:
- NPI Number: 1699734335
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 11/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315988359
- Enrollment ID: I20260415003285
Medical Identifiers
Medical identifiers for Tracie Baretela such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699734335 | NPI | - | NPPES |
| 8451411 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA10005007 (Washington) | Secondary |
| 363A00000X | Physician Assistant | 9887 (Arizona) | Primary |
| 207P00000X | Emergency Medicine | PA10005007 (Washington) | Secondary |
Medical Facilities Affiliation
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. Tracie Baretela allows following entities to bill medicare on her behalf.
| Entity Name | Hospitalist Medicine Physicians of New Mexico - Clovis LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477031094
PECOS PAC ID: 0345618849
Enrollment ID: O20221114002666 |
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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. Tracie Baretela 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 |
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Tracie Baretela, PA
5349 W Canary Grass Way,
South Jordan, UT 84009-1399
Ph: (360) 689-6397 | Tracie Baretela, PA
Hc 63 Box 9000,
Dilkon, AZ 86047-9477
Ph: (928) 657-1000 |
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