Tracey Iyamu-sanusi, FNP in Elk Grove, CA - Medicare Nurse Practitioner

Tracey Iyamu-sanusi, FNP is a medicare enrolled "Nurse Practitioner - Family" in Elk Grove, California. Her current practice location is 5040 Laguna Blvd, Elk Grove, California. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Tracey Iyamu-sanusi is licensed to practice in California (license number 95009824) 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 1093087595.

Contact Information

	Tracey Iyamu-sanusi, FNP
	5040 Laguna Blvd, Elk Grove, CA 95758-4147
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracey Iyamu-sanusi
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5040 Laguna Blvd, Elk Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093087595
Provider Enumeration Date: 01/31/2012
Last Update Date: 11/08/2022

Medicare PECOS Information:

PECOS PAC ID: 5193101376
Enrollment ID: I20220927000638

Medical Identifiers

Medical identifiers for Tracey Iyamu-sanusi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093087595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95009824 (California)	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. Tracey Iyamu-sanusi allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

Entity Name	Minuteclinic Diagnostic Medical Group Of Orange County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

Entity Name	Shriners Hospitals For Children
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679915565 PECOS PAC ID: 9133031933 Enrollment ID: O20140310000850

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. Tracey Iyamu-sanusi 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
Tracey Iyamu-sanusi, FNP 1350 Florin Rd, Sacramento, CA 95822-4202 Ph: (866) 389-2727	Tracey Iyamu-sanusi, FNP 5040 Laguna Blvd, Elk Grove, CA 95758-4147 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Elk Grove, CA

Zenaida J Pablo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9098 Laguna Main St, Suite 6, Elk Grove, CA 95758 Phone: 916-691-6780
Mary P Manu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6017 Travo Way, Elk Grove, CA 95757 Phone: 916-479-9007 Fax: 916-479-9007
Mrs. Mia Abigail Dalag Mateo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5601 Claudied Way, Elk Grove, CA 95757 Phone: 916-582-4010
Navjot Kaur Dhillon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9394 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-691-8500 Fax: 916-691-8589
Tabitha L Mason, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8125 Sheldon Rd #103, Elk Grove, CA 95758 Phone: 661-433-9133
Wally Zarate, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10372 Via Cinta Ct, Elk Grove, CA 95757 Phone: 916-812-0800
Mary Margaret Carter, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5300

Tracey Iyamu-sanusi, FNP - Medicare Nurse Practitioner in Elk Grove, CA