Mikke-ann Tracey, | |
4711 Nw 51st Ter, Tamarac, FL 33319-6310 | |
(347) 542-1447 | |
Not Available |
Full Name | Mikke-ann Tracey |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4711 Nw 51st Ter, Tamarac, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700540051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 9414431 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN11030933 (Florida) | Primary |
Entity Name | Anesco North Broward Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699763862 PECOS PAC ID: 3173436094 Enrollment ID: O20040225000118 |
Entity Name | Sunshine State Anesthesia Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
Mailing Address | Practice Location Address |
---|---|
Mikke-ann Tracey, 4711 Nw 51st Ter, Tamarac, FL 33319-6310 Ph: (347) 542-1447 | Mikke-ann Tracey, 4711 Nw 51st Ter, Tamarac, FL 33319-6310 Ph: (347) 542-1447 |
Zakiyah Cyrus, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5930 E Grand Duke Cir, Tamarac, FL 33321 Phone: 706-589-4698 | |
Gary M Sebert, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7154 N University Dr # 316, Tamarac, FL 33321 Phone: 954-720-3188 Fax: 954-722-6996 | |
M Angus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7171 N University Dr, #300, Tamarac, FL 33321 Phone: 954-720-3188 Fax: 954-722-6996 |