Miss Tracie Ann Clarke, MS, RD, CD is a medicare enrolled "Dietitian, Registered" provider in Huntington, Vermont. Her current practice location is
31 Fargo Dr, Huntington, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 999-3671.
Miss Tracie Ann Clarke is licensed to practice in Vermont (license number 074-0000225) 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 1306087895.
Healthcare Provider's Profile
| Full Name | Miss Tracie Ann Clarke |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 31 Fargo Dr, Huntington, Vermont |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306087895
- Provider Enumeration Date: 03/13/2009
- Last Update Date: 07/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375945322
- Enrollment ID: I20210713002157
Medical Identifiers
Medical identifiers for Miss Tracie Ann Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306087895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 074-0000225 (Vermont) | Secondary |
| 133V00000X | Dietitian, Registered | 074-0000225 (Vermont) | 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. Miss Tracie Ann Clarke allows following entities to bill medicare on her behalf.
| Provider Name | University Of Vermont Medical Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659309615
PECOS PAC ID: 3779491071
Enrollment ID: O20040406001047 |
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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. Miss Tracie Ann Clarke 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 |
|---|
Miss Tracie Ann Clarke, MS, RD, CD
31 Fargo Dr,
Huntington, VT 05462-9703
Ph: (802) 999-3671 | Miss Tracie Ann Clarke, MS, RD, CD
31 Fargo Dr,
Huntington, VT 05462-9703
Ph: (802) 999-3671 |
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