Tracy Daniels, CSAC, LPC, ICS in Racine, WI - Medicare Counselor Provider

Tracy Daniels, CSAC, LPC, ICS is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Racine, Wisconsin. Her current practice location is 1717 Taylor Ave, Racine, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 638-6674.

Tracy Daniels is licensed to practice in Wisconsin (license number 11389) 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 1114460268.

Contact Information

	Tracy Daniels, CSAC, LPC, ICS
	1717 Taylor Ave, Racine, WI 53403-2405
	(262) 638-6674
	(262) 638-6540

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Daniels
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	1717 Taylor Ave, Racine, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114460268
Provider Enumeration Date: 11/22/2016
Last Update Date: 07/26/2021

Medicare PECOS Information:

PECOS PAC ID: 5698126050
Enrollment ID: I20240110001456

Medical Identifiers

Medical identifiers for Tracy Daniels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114460268	NPI	-	NPPES
10062879	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	11389 (Wisconsin)	Primary
101YP2500X	Counselor - Professional	8036 (Wisconsin)	Secondary

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. Tracy Daniels allows following entities to bill medicare on her behalf.

Entity Name	Cleanslate Medical Group Of Wisconsin Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518404854 PECOS PAC ID: 4284905134 Enrollment ID: O20170810002045

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. Tracy Daniels 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
Tracy Daniels, CSAC, LPC, ICS 5735 Durand Ave Ste A, Mt Pleasant, WI 53406-5011 Ph: (262) 598-1392	Tracy Daniels, CSAC, LPC, ICS 1717 Taylor Ave, Racine, WI 53403-2405 Ph: (262) 638-6674

Reviews and Comments

Counselor in Racine, WI

Kathleen Rasmussen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Wisconsin Ave, Racine, WI 53403 Phone: 262-687-2222
Sammy Joe Rangel, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 Lake Ave, 101, Racine, WI 53403 Phone: 262-634-8688 Fax: 262-634-7547
Merritt Adams, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Taylor Ave, Racine, WI 53403 Phone: 262-632-1780 Fax: 262-632-0895
Dr. Kelly Jean Smith, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Taylor Ave, Racine, WI 53403 Phone: 262-638-6771
Donna R. Swanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Sixth St, Racine, WI 53403 Phone: 262-898-2940 Fax: 262-898-1772
Ms. Laura Ramos, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wisconsin Ave, Racine, WI 53403 Phone: 262-637-8888 Fax: 262-637-0695
Mrs. Maryellen L. Schemel, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 Northwestern Ave, Suite Ll5, Racine, WI 53404 Phone: 262-260-8370

Tracy Daniels, CSAC, LPC, ICS - Medicare Counselor in Racine, WI