Mrs Tracy Ann Derr, LPN is a
Licensed Practical Nurse based in Hixson, Tennessee. Mrs Tracy Ann Derr is licensed to practice in Tennessee (license number 0000066774) and her current practice location is
1238 Gadd Rd., Hixson, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 875-4806.
NPI number for Mrs Tracy Ann Derr is 1154550101 and her current mailing address is 1238 Gadd Rd, Hixson, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154550101.
Provider's Profile
| Full Name | Mrs Tracy Ann Derr |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 1238 Gadd Rd., Hixson, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154550101
- Provider Enumeration Date: 07/13/2009
- Last Update Date: 07/13/2009
Medical Identifiers
Medical identifiers for Mrs Tracy Ann Derr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154550101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 0000066774 (Tennessee) | 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 Tracy Ann Derr 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 Tracy Ann Derr, LPN
1238 Gadd Rd,
Hixson, TN 37343-3917
Ph: (423) 875-4806 | Mrs Tracy Ann Derr, LPN
1238 Gadd Rd.,
Hixson, TN 37343
Ph: (423) 875-4806 |
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