Tracy Rose Birmingham, LPC in Osceola, AR - Medicare Counselor Provider

Tracy Rose Birmingham, LPC is a medicare enrolled "Counselor - Professional" provider in Osceola, Arkansas. Her current practice location is 3201 W Keiser Ave, Osceola, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 622-0592.

Tracy Rose Birmingham 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 1609052596.

Contact Information

	Tracy Rose Birmingham, LPC
	3201 W Keiser Ave, Osceola, AR 72370-3467
	(870) 622-0592
	(870) 336-1339

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Rose Birmingham
Gender	Female
Speciality	Counselor - Professional
Location	3201 W Keiser Ave, Osceola, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609052596
Provider Enumeration Date: 01/10/2008
Last Update Date: 11/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8022544816
Enrollment ID: I20241203003559

Medical Identifiers

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

Identifier	Type	State	Issuer
1609052596	NPI	-	NPPES
173795795	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (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. Tracy Rose Birmingham allows following entities to bill medicare on her behalf.

Entity Name	Supportive Psych Care Of Arkansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887

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 Rose Birmingham 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 Rose Birmingham, LPC 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 Ph: (870) 933-6886	Tracy Rose Birmingham, LPC 3201 W Keiser Ave, Osceola, AR 72370-3467 Ph: (870) 622-0592

Reviews and Comments

Counselor in Osceola, AR

Audrey Denean Parker, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
April L Scrape, LPN Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W. Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Bridgette Jean Fielder, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3201 W. Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Mrs. Latasha Lee Dawson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3201 W Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Christie Lynn Brister, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W. Keiser Avenue, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Gail Renee Barger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 West Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Mrs. Kimberly Dawn Tomblin, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782

Tracy Rose Birmingham, LPC - Medicare Counselor in Osceola, AR