Tracy Lynn Genovese, | |
4605 Tutu Park Mall Ste 207, St Thomas, VI 00802 | |
(340) 775-3700 | |
Not Available |
Full Name | Tracy Lynn Genovese |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4605 Tutu Park Mall Ste 207, St Thomas, Virgin Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518585462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 041401522 (Illinois) | Primary |
Entity Name | The St Thomas East End Medical Center Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891799763 PECOS PAC ID: 1153366398 Enrollment ID: O20130521000024 |
Mailing Address | Practice Location Address |
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Tracy Lynn Genovese, 6501 Red Hook Plaza Box 664, Suite 201, St. Thomas, VI 00802 Ph: (630) 999-0266 | Tracy Lynn Genovese, 4605 Tutu Park Mall Ste 207, St Thomas, VI 00802 Ph: (340) 775-3700 |
Dr. Leighmin James Lu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9150 Estate Thomas, Suite 105 Vi Medical Foundation Bldg, St Thomas, VI 00801 Phone: 340-774-6947 Fax: 340-777-9522 | |
Dr. James Dallas Nelson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Upperhavensite Bld3 305, St Thomas, VI 00802 Phone: 340-774-3633 Fax: 340-776-2552 |