Mr Tracy Doss Nunnally, NP is a medicare enrolled "Nurse Practitioner - Family" in Eaton, Colorado. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Banner Health Physicians Colorado Llc and his current practice location is
100 S Cherry Ave Unit 1, Eaton, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 454-3838.
Mr Tracy Doss Nunnally is licensed to practice in Colorado (license number APN.0992881) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245535897.
Provider's Profile
Full Name | Mr Tracy Doss Nunnally |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 8 Years |
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Location | 100 S Cherry Ave Unit 1, Eaton, Colorado |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Tracy Doss Nunnally graduated from nursing school in 2016
NPI Data:
- NPI Number: 1245535897
- Provider Enumeration Date: 01/12/2011
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 1951678556
- Enrollment ID: I20170602001166
Medical Identifiers
Medical identifiers for Mr Tracy Doss Nunnally such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245535897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 185357 (Colorado) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN.0992881 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Banner Health Physicians Colorado Llc | 8921273038 | 228 |
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. Mr Tracy Doss Nunnally allows following entities to bill medicare on his behalf.
Entity Name | Banner Health Physicians Colorado Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
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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. Mr Tracy Doss Nunnally 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 |
Mr Tracy Doss Nunnally, NP 6600 W 20th St Unit 26, Greeley, CO 80634-9685 Ph: (970) 330-2039 | Mr Tracy Doss Nunnally, NP 100 S Cherry Ave Unit 1, Eaton, CO 80615-8256 Ph: (970) 454-3838 |
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