Dr Tracey Andersen, LMHC is a
Counselor - Mental Health based in Cutchogue, New York. Dr Tracey Andersen is licensed to practice in New York (license number 006769) and her current practice location is
2855 Depot Ln, Cutchogue, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 745-4189.
NPI number for Dr Tracey Andersen is 1275079212 and her current mailing address is 2855 Depot Ln, Cutchogue, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275079212.
Healthcare Provider's Profile
| Full Name | Dr Tracey Andersen |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 2855 Depot Ln, Cutchogue, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275079212
- Provider Enumeration Date: 01/14/2017
- Last Update Date: 11/08/2022
Medical Identifiers
Medical identifiers for Dr Tracey Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275079212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 006769 (New York) | Primary |
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 Tracey Andersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tracey Andersen, LMHC
2855 Depot Ln,
Cutchogue, NY 11935-1231
Ph: (631) 745-4189 | Dr Tracey Andersen, LMHC
2855 Depot Ln,
Cutchogue, NY 11935-1231
Ph: (631) 745-4189 |
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