Mrs Tracy Cox Griffith, A-GNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" provider in Peoria, Arizona. Her current practice location is
13640 N Plaza Del Rio Blvd, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 285-0306.
Mrs Tracy Cox Griffith is licensed to practice in Arizona (license number RNP273255) 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 1386712560.
Healthcare Provider's Profile
Full Name | Mrs Tracy Cox Griffith |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 13640 N Plaza Del Rio Blvd, Peoria, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386712560
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 06/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981087343
- Enrollment ID: I20220817001987
Medical Identifiers
Medical identifiers for Mrs Tracy Cox Griffith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386712560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC19015 (Arizona) | Secondary |
101YP2500X | Counselor - Professional | 13622 (Texas) | Secondary |
163W00000X | Registered Nurse | RN171656 (Arizona) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | RNP273255 (Arizona) | Primary |
163W00000X | Registered Nurse | 614997 (Texas) | 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. Mrs Tracy Cox Griffith allows following entities to bill medicare on her behalf.
Entity Name | Banner Primary Care Physicians Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898 |
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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. Mrs Tracy Cox Griffith 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 |
Mrs Tracy Cox Griffith, A-GNP-C 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 Ph: (623) 285-0306 | Mrs Tracy Cox Griffith, A-GNP-C 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 Ph: (623) 285-0306 |
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