Ms Tracy Basham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Athens, West Virginia. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Princeton Community Hospital Assn. Inc. and her current practice location is
401 E Vermillion St, Athens, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 384-7325.
Ms Tracy Basham is licensed to practice in West Virginia (license number 49397NP) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841734688.
Provider's Profile
| Full Name | Ms Tracy Basham |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 401 E Vermillion St, Athens, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Tracy Basham graduated from nursing school in 2012
NPI Data:
- NPI Number: 1841734688
- Provider Enumeration Date: 12/13/2016
- Last Update Date: 04/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 5799060562
- Enrollment ID: I20170316002143
Medical Identifiers
Medical identifiers for Ms Tracy Basham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841734688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 49397NP (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Princeton Community Hospital Assn. Inc. | 3678482221 | 138 |
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. Ms Tracy Basham allows following entities to bill medicare on her behalf.
| Entity Name | Princeton Community Hospital Assn. Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093917643
PECOS PAC ID: 3678482221
Enrollment ID: O20031211000436 |
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| Entity Name | Dr. Rhonda Guy & Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851336531
PECOS PAC ID: 6406850486
Enrollment ID: O20060906000004 |
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| Entity Name | Prompt Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790115848
PECOS PAC ID: 2567693997
Enrollment ID: O20140327000670 |
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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. Ms Tracy Basham 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 |
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Ms Tracy Basham, FNP
118 12th Street Ext,
Princeton, WV 24740-2352
Ph: (304) 431-5168 | Ms Tracy Basham, FNP
401 E Vermillion St,
Athens, WV 24712-8005
Ph: (304) 384-7325 |
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