Mrs Tracy Renee Pilgrim, APN is a
Nurse Practitioner based in Marked Tree, Arkansas. Mrs Tracy Renee Pilgrim is licensed to practice in Arkansas (license number A01248) and her current practice location is
105 Nathan St, Marked Tree, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 358-2036.
NPI number for Mrs Tracy Renee Pilgrim is 1033394804 and her current mailing address is 49 Highway 62 412, Ash Flat, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033394804.
Provider's Profile
| Full Name | Mrs Tracy Renee Pilgrim |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 105 Nathan St, Marked Tree, Arkansas |
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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: 1033394804
- Provider Enumeration Date: 12/29/2007
- Last Update Date: 03/16/2016
Medical Identifiers
Medical identifiers for Mrs Tracy Renee Pilgrim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033394804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | A01248 (Arkansas) | 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 Renee Pilgrim 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 Renee Pilgrim, APN
49 Highway 62 412,
Ash Flat, AR 72513-9594
Ph: (870) 358-2036 | Mrs Tracy Renee Pilgrim, APN
105 Nathan St,
Marked Tree, AR 72365
Ph: (870) 358-2036 |
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