Dr Tracy Lynn Kruzick, MD | |
80 Erdman Way Ste 315, Leominster, MA 01453-1840 | |
(978) 537-4805 | |
Not Available |
Full Name | Dr Tracy Lynn Kruzick |
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Gender | Female |
Speciality | Allergy & Immunology |
Location | 80 Erdman Way Ste 315, Leominster, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558424812 | NPI | - | NPPES |
9000200004 | Medicaid | CO | |
029563 | Other | CO | KAISER COMMERCIAL NUMBER |
FK0056728 | Other | CO | DEA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 238418 (Massachusetts) | Primary |
207K00000X | Allergy & Immunology | DR.0046645 (Colorado) | Secondary |
Entity Name | Asthma & Allergy Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043204829 PECOS PAC ID: 2466341177 Enrollment ID: O20040324001166 |
Mailing Address | Practice Location Address |
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Dr Tracy Lynn Kruzick, MD Po Box 1000 Dept 453, Memphis, TN 38148-0001 Ph: (828) 575-2625 | Dr Tracy Lynn Kruzick, MD 80 Erdman Way Ste 315, Leominster, MA 01453-1840 Ph: (978) 537-4805 |
Francisco A Bonilla, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 79 Erdman Way, Ste 101, Leominster, MA 01453 Phone: 617-355-8594 Fax: 617-730-0310 | |
Dr. Jordan E. Scott, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 79 Erdman Way, Suite 101, Leominster, MA 01453 Phone: 978-537-4805 Fax: 978-537-2185 | |
David E. Riester, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 79 Erdman Way, Suite 101, Leominster, MA 01453 Phone: 978-537-4805 Fax: 978-537-2185 | |
Dr. Geraldine Feldman, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 50 Memorial Dr, Ste 206, Leominster, MA 01453 Phone: 978-537-4805 Fax: 978-537-2185 | |
John M. O'loughlin, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 80 Erdman Way, Suite 315., Leominster, MA 01453 Phone: 978-537-4805 Fax: 978-537-2185 |