Ms Kristen Lee Funk-tracy, LCSW is a medicare enrolled "Social Worker" provider in Colville, Washington. Her current practice location is
165 E Hawthorne Ave, Colville, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 684-4597.
Ms Kristen Lee Funk-tracy is licensed to practice in * (Not Available) (license number ) 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 1598235954.
Healthcare Provider's Profile
Full Name | Ms Kristen Lee Funk-tracy |
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Gender | Female |
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Speciality | Social Worker |
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Location | 165 E Hawthorne Ave, Colville, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598235954
- Provider Enumeration Date: 11/28/2018
- Last Update Date: 04/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052757267
- Enrollment ID: I20240311003007
Medical Identifiers
Medical identifiers for Ms Kristen Lee Funk-tracy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598235954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | SA60894587 (Washington) | Secondary |
104100000X | Social Worker | (* (Not Available)) | 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. Ms Kristen Lee Funk-tracy allows following entities to bill medicare on her behalf.
Entity Name | Stevens County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891792966 PECOS PAC ID: 2466349394 Enrollment ID: O20040303001200 |
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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. Ms Kristen Lee Funk-tracy 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 |
Ms Kristen Lee Funk-tracy, LCSW 165 E Hawthorne Ave, Colville, WA 99114-2629 Ph: (509) 684-4597 | Ms Kristen Lee Funk-tracy, LCSW 165 E Hawthorne Ave, Colville, WA 99114-2629 Ph: (509) 684-4597 |
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