Dr Tracie Denie Johnson-wagner, PMHNP-BC in Gilbert, AZ

Dr Tracie Denie Johnson-wagner, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gilbert, Arizona. Her current practice location is 2450 E Guadalupe Rd Ste 103, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 907-6818.

Dr Tracie Denie Johnson-wagner is licensed to practice in Arizona (license number AP11024) 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 1578064382.

Contact Information

	Dr Tracie Denie Johnson-wagner, PMHNP-BC
	2450 E Guadalupe Rd Ste 103, Gilbert, AZ 85234-5116
	(480) 907-6818
	(480) 428-0475

Map and Direction

Provider's Profile

Full Name	Dr Tracie Denie Johnson-wagner
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2450 E Guadalupe Rd Ste 103, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578064382
Provider Enumeration Date: 02/27/2018
Last Update Date: 10/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2769745280
Enrollment ID: I20180416002526

Medical Identifiers

Medical identifiers for Dr Tracie Denie Johnson-wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578064382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	C-RXN.0002422-C-NP (Colorado)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP11024 (Arizona)	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. Dr Tracie Denie Johnson-wagner allows following entities to bill medicare on her behalf.

Entity Name	Valera Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20220215001193

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. Dr Tracie Denie Johnson-wagner 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
Dr Tracie Denie Johnson-wagner, PMHNP-BC 4801 E Mcdowell Rd Ste 250, Phoenix, AZ 85008-7725 Ph: (602) 464-9576	Dr Tracie Denie Johnson-wagner, PMHNP-BC 2450 E Guadalupe Rd Ste 103, Gilbert, AZ 85234-5116 Ph: (480) 907-6818

Reviews and Comments

Nurse Practitioner Nurses in Gilbert, AZ

Perla Quinones, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1166 E Warner Rd Ste 206, Gilbert, AZ 85296 Phone: 480-331-2201 Fax: 480-800-4944
Kimberly Michelle Flake, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1020 S Roles Dr, Gilbert, AZ 85296 Phone: 480-216-1837
Monica Hulsey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 471 N 159th Pl, Gilbert, AZ 85234 Phone: 602-505-7984
Kimberly Matejka, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3530 S Val Vista Dr Ste 214, Gilbert, AZ 85297 Phone: 480-718-9960
Mrs. Dana M. Rodriguez, N.P., PHD Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6285 S Higley Rd, Gilbert, AZ 85298 Phone: 480-460-4949 Fax: 480-460-5858
Jenny Littrell, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3686 S Rome St, Gilbert, AZ 85297 Phone: 480-890-7705 Fax: 480-398-8095
Stephanie Streit, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4766 E Queen Creek Rd, Gilbert, AZ 85297 Phone: 855-925-4733

Dr Tracie Denie Johnson-wagner, PMHNP-BC - Medicare Nurse Practitioner in Gilbert, AZ