Michael Tracey, MD, FAAD is a medicare enrolled "Dermatology" physician in Fort Sill, Oklahoma. His current practice location is
4301 Wilson St, Fort Sill, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(833) 286-3732.
Michael Tracey is licensed to practice in Virginia (license number 0101267699) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023505971.
Physician's Profile
Full Name | Michael Tracey |
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Gender | Male |
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Speciality | Dermatology |
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Location | 4301 Wilson St, Fort Sill, Oklahoma |
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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: 1023505971
- Provider Enumeration Date: 04/17/2018
- Last Update Date: 01/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305295502
- Enrollment ID: I20231213002673
Medical Identifiers
Medical identifiers for Michael Tracey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023505971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 41401 (Oklahoma) | Secondary |
207N00000X | Dermatology | 0101267699 (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. Michael Tracey allows following entities to bill medicare on his behalf.
Entity Name | Epiphany Dermatology Of Oklahoma Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801320106 PECOS PAC ID: 5597042903 Enrollment ID: O20170511001163 |
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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. Michael Tracey 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 |
Michael Tracey, MD, FAAD 4301 Wilson St, Lawton, OK 73503-4472 Ph: () - | Michael Tracey, MD, FAAD 4301 Wilson St, Fort Sill, OK 73503-4472 Ph: (833) 286-3732 |
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