Mrs Tracey Lynn Mcdonough, LPN is a
Licensed Practical Nurse based in Shalimar, Florida. Mrs Tracey Lynn Mcdonough is licensed to practice in Florida (license number PN5156934) and her current practice location is
150 Richbourg Ave, Shalimar, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 833-4301.
NPI number for Mrs Tracey Lynn Mcdonough is 1902085194 and her current mailing address is 221 Hospital Dr Ne, Fort Walton Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902085194.
Provider's Profile
Full Name | Mrs Tracey Lynn Mcdonough |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 150 Richbourg Ave, Shalimar, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902085194
- Provider Enumeration Date: 10/24/2007
- Last Update Date: 10/24/2007
Medical Identifiers
Medical identifiers for Mrs Tracey Lynn Mcdonough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902085194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN5156934 (Florida) | Primary |
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. Mrs Tracey Lynn Mcdonough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tracey Lynn Mcdonough, LPN 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 Ph: (850) 833-9240 | Mrs Tracey Lynn Mcdonough, LPN 150 Richbourg Ave, Shalimar, FL 32579-1221 Ph: (850) 833-4301 |
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