Tracy Evanson, MS is a
Case Manager/care Coordinator based in Pomona, California. Tracy Evanson is licensed to practice in * (Not Available) (license number ) and her current practice location is
436 W 4th St # 225, Pomona, California. She can be reached at her office (for appointments etc.) via phone at
(909) 815-7815.
NPI number for Tracy Evanson is 1275076010 and her current mailing address is 436 W 4th St # 225, Pomona, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275076010.
Healthcare Provider's Profile
Full Name | Tracy Evanson |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 436 W 4th St # 225, Pomona, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275076010
- Provider Enumeration Date: 11/28/2016
- Last Update Date: 05/29/2024
Medical Identifiers
Medical identifiers for Tracy Evanson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275076010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Tracy Evanson 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 |
Tracy Evanson, MS 436 W 4th St # 225, Pomona, CA 91766-1622 Ph: (909) 815-7815 | Tracy Evanson, MS 436 W 4th St # 225, Pomona, CA 91766-1622 Ph: (909) 815-7815 |
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