Mrs Tracey Renee Puckett, PMHNP-BC in Jackson, TN

Mrs Tracey Renee Puckett, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jackson, Tennessee. Her current practice location is 1385 S Highland Ave Ste B1, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 251-3470.

Mrs Tracey Renee Puckett is licensed to practice in Tennessee (license number 30860) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588323851.

Contact Information

	Mrs Tracey Renee Puckett, PMHNP-BC
	1385 S Highland Ave Ste B1, Jackson, TN 38301-7547
	(731) 251-3470
	(731) 201-5250

Map and Direction

Provider's Profile

Full Name	Mrs Tracey Renee Puckett
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1385 S Highland Ave Ste B1, Jackson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588323851
Provider Enumeration Date: 12/14/2021
Last Update Date: 09/17/2024

Medicare PECOS Information:

PECOS PAC ID: 8527451517
Enrollment ID: I20240528003553

Medical Identifiers

Medical identifiers for Mrs Tracey Renee Puckett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588323851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	30860 (Tennessee)	Primary

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. Mrs Tracey Renee Puckett allows following entities to bill medicare on her behalf.

Entity Name	Vitality Mental Health And Wellness Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093566226 PECOS PAC ID: 8123460706 Enrollment ID: O20240528003406

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 Renee Puckett 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
Mrs Tracey Renee Puckett, PMHNP-BC 1340 Dry Creek Rd, Pinson, TN 38366-1735 Ph: (731) 251-3470	Mrs Tracey Renee Puckett, PMHNP-BC 1385 S Highland Ave Ste B1, Jackson, TN 38301-7547 Ph: (731) 251-3470

Reviews and Comments

Nurse Practitioner Nurses in Jackson, TN

Katherine E Wyatt, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301
Amy K Lawrence, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8380
Lauren Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1047 Union University Dr, Jackson, TN 38305 Phone: 731-256-0035
Anna K Younger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301
Kirsten Siler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27a Medical Center Drive, Jackson, TN 38301 Phone: 731-541-3310
Stephanie Pool, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 Fax: 844-374-0233
Kimberlie A Simpson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Independence Ln, Jackson, TN 38305 Phone: 731-617-1483

Mrs Tracey Renee Puckett, PMHNP-BC - Medicare Nurse Practitioner in Jackson, TN