Tracy L Rockefeller, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Lakeville, Pennsylvania. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Geisinger Clinic and her current practice location is
1258 Purdytown Tpke, Lakeville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 647-9277.
Tracy L Rockefeller is licensed to practice in Pennsylvania (license number SP010412) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346472057.
Physician's Profile
Full Name | Tracy L Rockefeller |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 15 Years |
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Location | 1258 Purdytown Tpke, Lakeville, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tracy L Rockefeller graduated from medical school in 2009
NPI Data:
- NPI Number: 1346472057
- Provider Enumeration Date: 08/13/2009
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729266325
- Enrollment ID: I20110630000366
Medical Identifiers
Medical identifiers for Tracy L Rockefeller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346472057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | SP010412 (Pennsylvania) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | SP010412 (Pennsylvania) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP010412 (Pennsylvania) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Geisinger Clinic | 5395657001 | 2841 |
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 L Rockefeller allows following entities to bill medicare on her behalf.
Entity Name | Joseph Dantonio Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770557548 PECOS PAC ID: 4587577341 Enrollment ID: O20031107000294 |
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Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
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Entity Name | Glenmaura Holdings, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942914924 PECOS PAC ID: 3173989456 Enrollment ID: O20230818001190 |
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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 L Rockefeller 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 |
Tracy L Rockefeller, CRNP 1154 Beaver Lake Dr, Lake Ariel, PA 18436-8013 Ph: (267) 401-0669 | Tracy L Rockefeller, CRNP 1258 Purdytown Tpke, Lakeville, PA 18438-6793 Ph: (570) 647-9277 |
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