Tracy Hendrickson Baltzell, NP is a medicare enrolled "Nurse Practitioner" physician in Huntersville, North Carolina. Her current practice location is
9930 Kincey Ave Ste 100, Huntersville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(877) 876-3783.
Tracy Hendrickson Baltzell is licensed to practice in North Carolina (license number 5001264) 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 1942218573.
Physician's Profile
| Full Name | Tracy Hendrickson Baltzell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 9930 Kincey Ave Ste 100, Huntersville, North Carolina |
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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: 1942218573
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 11/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779581657
- Enrollment ID: I20061201000470
Medical Identifiers
Medical identifiers for Tracy Hendrickson Baltzell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942218573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 005001264 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 005001264 (North Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5001264 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5001264 (North Carolina) | 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. Tracy Hendrickson Baltzell allows following entities to bill medicare on her behalf.
| Entity Name | River Region Psychiatry Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386891497
PECOS PAC ID: 1254491012
Enrollment ID: O20230321000632 |
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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. Tracy Hendrickson Baltzell 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 |
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Tracy Hendrickson Baltzell, NP
9930 Kincey Ave Ste 100,
Huntersville, NC 28078-6541
Ph: (877) 876-3783 | Tracy Hendrickson Baltzell, NP
9930 Kincey Ave Ste 100,
Huntersville, NC 28078-6541
Ph: (877) 876-3783 |
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