Tracy Follert, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Waterbury, Connecticut. Her current practice location is
88 Grandview Ave, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 573-7265.
Tracy Follert is licensed to practice in Connecticut (license number 9756) 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 1245741701.
Healthcare Provider's Profile
Full Name | Tracy Follert |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 88 Grandview Ave, Waterbury, Connecticut |
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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: 1245741701
- Provider Enumeration Date: 10/23/2017
- Last Update Date: 02/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436419629
- Enrollment ID: I20180208000791
Medical Identifiers
Medical identifiers for Tracy Follert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245741701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 009756 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 9756 (Connecticut) | 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. Tracy Follert allows following entities to bill medicare on her behalf.
Entity Name | The Charlotte Hungerford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183 |
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Entity Name | Prospect Ct Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
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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. Tracy Follert 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 Follert, LCSW 58 Clark St, Torrington, CT 06790-4929 Ph: (860) 459-4429 | Tracy Follert, LCSW 88 Grandview Ave, Waterbury, CT 06708-2509 Ph: (203) 573-7265 |
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