Deirdre Tara Tracey, | |
555 W 14 Mile Rd Ste 100, Clawson, MI 48017-3100 | |
(248) 655-1400 | |
Not Available |
Full Name | Deirdre Tara Tracey |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 555 W 14 Mile Rd Ste 100, Clawson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659918258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704303811 (Michigan) | Primary |
Entity Name | Michigan Orthopaedic Surgeons Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306394309 PECOS PAC ID: 7810277811 Enrollment ID: O20161208002428 |
Entity Name | Paragon Clinical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114139946 PECOS PAC ID: 7214034925 Enrollment ID: O20170329002290 |
Entity Name | Elite Healthcare Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215055082 PECOS PAC ID: 6204181175 Enrollment ID: O20180618000871 |
Entity Name | Theoria Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
Mailing Address | Practice Location Address |
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Deirdre Tara Tracey, 555 W 14 Mile Rd Ste 100, Clawson, MI 48017-3100 Ph: () - | Deirdre Tara Tracey, 555 W 14 Mile Rd Ste 100, Clawson, MI 48017-3100 Ph: (248) 655-1400 |
Sheila Marie Clay, RN MSN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1402 W 14 Mile Rd, Clawson, MI 48017 Phone: 248-435-7314 | |
Mrs. Ashley Marie Harrison, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 W 14 Mile Rd Ste 100, Clawson, MI 48017 Phone: 248-655-1400 | |
Mackenzie Louise Meredith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1402 W 14 Mile Rd, Clawson, MI 48017 Phone: 248-435-7314 | |
Mrs. Lisa Marie Ramesbottom, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1402 W 14 Mile Rd, Clawson, MI 48017 Phone: 866-389-2727 | |
Ms. Kristina Knechtl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 W 14 Mile Rd, Clawson, MI 48017 Phone: 248-655-1400 | |
Ms. Lindsey Anquetil, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1402 W 14 Mile Rd, Clawson, MI 48017 Phone: 866-389-2727 | |
Victor Hliebay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1402 W 14 Mile Road, Clawson, MI 48017 Phone: 248-435-7314 |