Tracy Treybig Wiegand, PA is a medicare enrolled "Dermatology" in Newport Beach, California. Her current practice location is
250 Newport Center Dr Ste M101, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at
(949) 414-8426.
Tracy Treybig Wiegand is licensed to practice in California (license number PA60129) 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 1689328106.
Provider's Profile
| Full Name | Tracy Treybig Wiegand |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 250 Newport Center Dr Ste M101, Newport Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689328106
- Provider Enumeration Date: 02/04/2022
- Last Update Date: 08/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 4981091915
- Enrollment ID: I20220421002212
Medical Identifiers
Medical identifiers for Tracy Treybig Wiegand such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689328106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA60129 (California) | Secondary |
| 207N00000X | Dermatology | PA60129 (California) | Primary |
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. Tracy Treybig Wiegand allows following entities to bill medicare on her behalf.
| Entity Name | Howard Fein MD Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073795266
PECOS PAC ID: 4082678305
Enrollment ID: O20041116001302 |
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| Entity Name | Bita Adib Bagheri MD |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518685650
PECOS PAC ID: 6204363682
Enrollment ID: O20241224000891 |
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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. Tracy Treybig Wiegand 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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Tracy Treybig Wiegand, PA
250 Newport Center Dr Ste M101,
Newport Beach, CA 92660-7516
Ph: Not Available | Tracy Treybig Wiegand, PA
250 Newport Center Dr Ste M101,
Newport Beach, CA 92660-7516
Ph: (949) 414-8426 |
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