Dr Tracy Viviansue Love, MD is a medicare enrolled "Dermatology" physician in Fort Meade, Maryland. Her current practice location is
2480 Llewellyn Ave, Fort Meade, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 677-8138.
Dr Tracy Viviansue Love is licensed to practice in Virginia (license number 0101254479) 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 1578827325.
Physician's Profile
Full Name | Dr Tracy Viviansue Love |
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Gender | Female |
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Speciality | Dermatology |
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Location | 2480 Llewellyn Ave, Fort Meade, Maryland |
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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: 1578827325
- Provider Enumeration Date: 06/26/2012
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 0345500245
- Enrollment ID: I20230818000137
Medical Identifiers
Medical identifiers for Dr Tracy Viviansue Love such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578827325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 0101254479 (Virginia) | 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 Viviansue Love allows following entities to bill medicare on her behalf.
Entity Name | Dermatology Consultants Of Sacramento A Medical Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083825947 PECOS PAC ID: 8224064001 Enrollment ID: O20050713000259 |
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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 Viviansue Love 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 Viviansue Love, MD 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 Ph: (301) 677-8138 | Dr Tracy Viviansue Love, MD 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 Ph: (301) 677-8138 |
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