Ms Tracy Cardin, NP is a medicare enrolled "Hospitalist" in Chicago, Illinois. Her current practice location is
5841 S Maryland Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 702-1000.
Ms Tracy Cardin is licensed to practice in Virginia (license number 0001275351) 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 1386838779.
Provider's Profile
Full Name | Ms Tracy Cardin |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 5841 S Maryland Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386838779
- Provider Enumeration Date: 08/29/2007
- Last Update Date: 11/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 0042379141
- Enrollment ID: I20180122002364
Medical Identifiers
Medical identifiers for Ms Tracy Cardin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386838779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 209-003160 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 0001275351 (Virginia) | Secondary |
208M00000X | Hospitalist | 0001275351 (Virginia) | 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. Ms Tracy Cardin allows following entities to bill medicare on her behalf.
Entity Name | Adfinitas Health At Fauquier Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225558109 PECOS PAC ID: 1557627494 Enrollment ID: O20171109002793 |
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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 Cardin 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 |
Ms Tracy Cardin, NP 5841 S Maryland Ave, Chicago, IL 60637-1447 Ph: (773) 702-1000 | Ms Tracy Cardin, NP 5841 S Maryland Ave, Chicago, IL 60637-1447 Ph: (773) 702-1000 |
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