Tracey Kathleen Tracy, MD | |
506 4th St, La Grande, OR 97850 | |
(541) 663-3138 | |
(541) 975-5120 |
Full Name | Tracey Kathleen Tracy |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 17 Years |
Location | 506 4th St, La Grande, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073760955 | NPI | - | NPPES |
500620109 | Medicaid | OR | |
P00965892 | Other | OR | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD151037 (Oregon) | Primary |
207Q00000X | Family Medicine | MD60747878 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Monument Health Rapid City Hospital Inc | 6002729506 | 431 |
Entity Name | Monument Health Rapid City Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
Mailing Address | Practice Location Address |
---|---|
Tracey Kathleen Tracy, MD 506 4th St, La Grande, OR 97850-1906 Ph: (541) 663-3138 | Tracey Kathleen Tracy, MD 506 4th St, La Grande, OR 97850 Ph: (541) 663-3138 |
Bradley Jack Tishman, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 | |
Dr. Michelle Tolle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 | |
Brooke Davis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 | |
Dr. Ellen K Schoenfelder, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Drive, Suite C, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412 | |
Dr. Bryan Richard Conklin, MD PC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2011 Fourth Street, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412 | |
Debra Studer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 |