Ms Tracy Selina Anderson, RN CM is a
Case Manager/care Coordinator based in Big Stone Gap, Virginia. Ms Tracy Selina Anderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
3169 2nd Avenue East, Big Stone Gap, Virginia. She can be reached at her office (for appointments etc.) via phone at
(276) 523-8300.
NPI number for Ms Tracy Selina Anderson is 1194863472 and her current mailing address is Po Box 9054, Gray, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194863472.
Provider's Profile
| Full Name | Ms Tracy Selina Anderson |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 3169 2nd Avenue East, Big Stone Gap, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194863472
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Tracy Selina Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194863472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 0001169659 (Virginia) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Ms Tracy Selina Anderson 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 |
|---|
Ms Tracy Selina Anderson, RN CM
Po Box 9054,
Gray, TN 37615-9054
Ph: (423) 467-3600 | Ms Tracy Selina Anderson, RN CM
3169 2nd Avenue East,
Big Stone Gap, VA 24219
Ph: (276) 523-8300 |
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