Stephanie Juliet Mahooty, NP in Mesa, AZ - Medicare Nurse Practitioner

Stephanie Juliet Mahooty, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Mesa, Arizona. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dhhs,phs,naihs, Gallup Indian Medical Center, Kewa Pueblo Health Corporation, Renal Medicine Associates Ltd. and her current practice location is 612 W Baseline Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 834-9039.

Stephanie Juliet Mahooty is licensed to practice in Arizona (license number AP3997) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922399542.

Contact Information

	Stephanie Juliet Mahooty, NP
	612 W Baseline Rd, Mesa, AZ 85210-6041
	(480) 834-9039
	(480) 964-7802

Map and Direction

Provider's Profile

Full Name	Stephanie Juliet Mahooty
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	612 W Baseline Rd, Mesa, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Juliet Mahooty graduated from nursing school in 2010

NPI Data:

NPI Number: 1922399542
Provider Enumeration Date: 04/30/2011
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1052598950
Enrollment ID: I20140207000334

Medical Identifiers

Medical identifiers for Stephanie Juliet Mahooty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922399542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R48437 (New Mexico)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	CNP02584 (New Mexico)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	AP3997 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhhs,phs,naihs, Gallup Indian Medical Center	3173436409	121
Kewa Pueblo Health Corporation	7618137779	21
Renal Medicine Associates Ltd.	1052217585	30

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. Stephanie Juliet Mahooty allows following entities to bill medicare on her behalf.

Entity Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

Entity Name	Kewa Pueblo Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467739888 PECOS PAC ID: 7618137779 Enrollment ID: O20120327000617

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. Stephanie Juliet Mahooty 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
Stephanie Juliet Mahooty, NP 612 W Baseline Rd, Mesa, AZ 85210-6041 Ph: (480) 834-9039	Stephanie Juliet Mahooty, NP 612 W Baseline Rd, Mesa, AZ 85210-6041 Ph: (480) 834-9039

Reviews and Comments

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Stephanie Juliet Mahooty, NP - Medicare Nurse Practitioner in Mesa, AZ