Mrs Tracey Black Respess, FNP | |
740 Bragaw Lane, Chocowinity, NC 27817 | |
(252) 946-9562 | |
Not Available |
Full Name | Mrs Tracey Black Respess |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 740 Bragaw Lane, Chocowinity, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548474463 | NPI | - | NPPES |
005002930 | Other | NC | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 005002930 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vidant Medical Group Llc | 0345343893 | 850 |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracey Black Respess, FNP 7684 Broad Creek Rd, Washington, NC 27889-7796 Ph: (252) 940-1502 | Mrs Tracey Black Respess, FNP 740 Bragaw Lane, Chocowinity, NC 27817 Ph: (252) 946-9562 |
Dr. Sheila Harvey Smith, DNP, ANP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Cypress Commons Way, Chocowinity, NC 27817 Phone: 252-402-9510 Fax: 877-940-2643 | |
Dr. Anna Mangum Cook, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 740 Bragaw Ln, Chocowinity, NC 27817 Phone: 252-946-9562 | |
Mrs. Britney Alligood Woods, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 740 Bragaw Ln, Chocowinity, NC 27817 Phone: 252-946-9562 Fax: 252-946-9071 |