THERESA T MAGNE MD
NPI 1417974403
Dermatology in Peoria, AZ
About Theresa T Magne Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA T MAGNE MD (NPI 1417974403) is an individual dermatology provider in Peoria, Arizona, licensed in Arizona (23281) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa T Magne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theresa Magne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85028
- Reassigned Medicare billing, Arizona enrollment
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85381 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, AZ 85381
PEORIA, AZ 85381
PEORIA, AZ 85381
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theresa Magne's NPI number?
The NPI number for Theresa Magne is 1417974403. It was assigned to this individual provider in the NPPES registry on July 16, 2006.
Where is Theresa Magne located?
Theresa Magne practices at 14155 N 83rd Ave Suite @110, Peoria, AZ 85381. The listed phone number is (623) 215-0911.
What is Theresa Magne's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Theresa Magne enrolled in Medicare?
Yes. Theresa Magne is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theresa Magne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Magne reassigns Medicare benefits to Southwest Skin Specialists LLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Magne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theresa Magne was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.