Dr Tracy B Treloar, MD is a medicare enrolled "Pediatrics" physician in Tecumseh, Michigan. Her current practice location is
6869 S Occidental Rd, Tecumseh, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 423-4777.
Dr Tracy B Treloar is licensed to practice in Michigan (license number 4301096739) 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 1134245442.
Physician's Profile
| Full Name | Dr Tracy B Treloar |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 6869 S Occidental Rd, Tecumseh, Michigan |
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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: 1134245442
- Provider Enumeration Date: 03/21/2007
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002084662
- Enrollment ID: I20200420003441
Medical Identifiers
Medical identifiers for Dr Tracy B Treloar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134245442 | NPI | - | NPPES |
| 4301096739 | Other | MI | STATE LICENSE |
| LL1699 | Other | NV | MEDICAL LICENSE |
| 1134245442 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 35.096222 (Ohio) | Secondary |
| 208000000X | Pediatrics | 4301096739 (Michigan) | 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. Dr Tracy B Treloar allows following entities to bill medicare on her behalf.
| Entity Name | Promedica Central Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226 |
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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. Dr Tracy B Treloar 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 |
|---|
Dr Tracy B Treloar, MD
1 Seagate Ste 800,
Toledo, OH 43604-1558
Ph: (517) 423-4777 | Dr Tracy B Treloar, MD
6869 S Occidental Rd,
Tecumseh, MI 49286-9784
Ph: (517) 423-4777 |
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