Tracy Wiese, MFCT; MFT is a medicare enrolled "Marriage & Family Therapist" provider in N Las Vegas, Nevada. Her current practice location is
3940 N Martin Luther King Boulevard, N Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 731-0909.
Tracy Wiese is licensed to practice in Nevada (license number 01200) 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 1033421748.
Healthcare Provider's Profile
Full Name | Tracy Wiese |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 3940 N Martin Luther King Boulevard, N Las Vegas, Nevada |
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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: 1033421748
- Provider Enumeration Date: 07/10/2010
- Last Update Date: 07/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709237209
- Enrollment ID: I20240109003645
Medical Identifiers
Medical identifiers for Tracy Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033421748 | NPI | - | NPPES |
1033421748 | Medicaid | NV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 01200 (Nevada) | Primary |
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 Wiese 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 |
Tracy Wiese, MFCT; MFT 8936 Spanish Ridge Ave, Las Vegas, NV 89148-1354 Ph: (702) 998-2816 | Tracy Wiese, MFCT; MFT 3940 N Martin Luther King Boulevard, N Las Vegas, NV 89032 Ph: (702) 731-0909 |
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