Elizabeth Dagoberg, DNP, AG-ACNP in Gilbert, AZ

Elizabeth Dagoberg, DNP, AG-ACNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Gilbert, Arizona. Her current practice location is 161 E Rivulon Blvd Ste 210, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 739-8769.

Elizabeth Dagoberg is licensed to practice in Arizona (license number 275445) 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 1205594413.

Contact Information

	Elizabeth Dagoberg, DNP, AG-ACNP
	161 E Rivulon Blvd Ste 210, Gilbert, AZ 85297-0035
	(602) 739-8769
	Not Available

Map and Direction

Provider's Profile

Full Name	Elizabeth Dagoberg
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	161 E Rivulon Blvd Ste 210, 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: 1205594413
Provider Enumeration Date: 12/05/2021
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3577913763
Enrollment ID: I20231229002994

Medical Identifiers

Medical identifiers for Elizabeth Dagoberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205594413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	275445 (Arizona)	Primary
363LA2100X	Nurse Practitioner - Acute Care	275445 (Arizona)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
163W00000X	Registered Nurse	RN200398 (Arizona)	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. Elizabeth Dagoberg allows following entities to bill medicare on her behalf.

Entity Name	Aim Healthcare Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295278000 PECOS PAC ID: 7315201555 Enrollment ID: O20180516000301

Entity Name	Us Health Systems Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932675337 PECOS PAC ID: 5395080667 Enrollment ID: O20181214002971

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. Elizabeth Dagoberg 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
Elizabeth Dagoberg, DNP, AG-ACNP 3015 E Amber Ridge Way, Phoenix, AZ 85048-7741 Ph: (480) 381-9575	Elizabeth Dagoberg, DNP, AG-ACNP 161 E Rivulon Blvd Ste 210, Gilbert, AZ 85297-0035 Ph: (602) 739-8769

Reviews and Comments

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Elizabeth Dagoberg, DNP, AG-ACNP - Medicare Nurse Practitioner in Gilbert, AZ