Allison Theresa Tracy, FNP-C in Watertown, SD

Allison Theresa Tracy, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Watertown, South Dakota. Her current practice location is 1512 4th St Ne, Watertown, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 884-0100.

Allison Theresa Tracy is licensed to practice in South Dakota (license number CP002916) 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 1114609104.

Contact Information

	Allison Theresa Tracy, FNP-C
	1512 4th St Ne, Watertown, SD 57201-6824
	(605) 884-0100
	Not Available

Map and Direction

Provider's Profile

Full Name	Allison Theresa Tracy
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1512 4th St Ne, Watertown, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114609104
Provider Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3779947726
Enrollment ID: I20230911001119

Medical Identifiers

Medical identifiers for Allison Theresa Tracy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114609104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CP002916 (South Dakota)	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. Allison Theresa Tracy allows following entities to bill medicare on her behalf.

Entity Name	Lakeside Pain Center Prof Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295478907 PECOS PAC ID: 8820472814 Enrollment ID: O20220824002982

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. Allison Theresa Tracy 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
Allison Theresa Tracy, FNP-C 18025 468th Ave, Clear Lake, SD 57226-5320 Ph: (605) 520-0302	Allison Theresa Tracy, FNP-C 1512 4th St Ne, Watertown, SD 57201-6824 Ph: (605) 884-0100

Reviews and Comments

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Allison Theresa Tracy, FNP-C - Medicare Nurse Practitioner in Watertown, SD