Tracey Ann Pruden, FNP-C is a medicare enrolled "Nurse Practitioner" in Monroe, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adams County Memorial Hospital and her current practice location is
205 Tower Dr, Monroe, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 926-6163.
Tracey Ann Pruden is licensed to practice in Indiana (license number 71010245A) 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 1699390179.
Provider's Profile
| Full Name | Tracey Ann Pruden |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 205 Tower Dr, Monroe, Indiana |
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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:
- Tracey Ann Pruden graduated from nursing school in 2020
NPI Data:
- NPI Number: 1699390179
- Provider Enumeration Date: 06/10/2020
- Last Update Date: 05/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840619201
- Enrollment ID: I20201005000101
Medical Identifiers
Medical identifiers for Tracey Ann Pruden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699390179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 28202009A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71010245A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Adams County Memorial Hospital | 0941198253 | 67 |
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. Tracey Ann Pruden allows following entities to bill medicare on her behalf.
| Entity Name | Adams County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689696148
PECOS PAC ID: 0941198253
Enrollment ID: O20041001000326 |
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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. Tracey Ann Pruden 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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Tracey Ann Pruden, FNP-C
2501 E 800 N,
Decatur, IN 46733-9453
Ph: (260) 701-5100 | Tracey Ann Pruden, FNP-C
205 Tower Dr,
Monroe, IN 46772-9362
Ph: (260) 926-6163 |
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