Tracey Lynn Kirk, LPN is a
Licensed Practical Nurse based in Brooklyn, Indiana. Tracey Lynn Kirk is licensed to practice in Indiana (license number 27045519A) and her current practice location is
13 E. Mill St., Brooklyn, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 834-3714.
NPI number for Tracey Lynn Kirk is 1518168921 and her current mailing address is 13 E. Mill St., Po Box 18, Brooklyn, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518168921.
Provider's Profile
| Full Name | Tracey Lynn Kirk |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 13 E. Mill St., Brooklyn, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518168921
- Provider Enumeration Date: 05/31/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Tracey Lynn Kirk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518168921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 27045519A (Indiana) | 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. Tracey Lynn Kirk 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 |
|---|
Tracey Lynn Kirk, LPN
13 E. Mill St., Po Box 18,
Brooklyn, IN 46111
Ph: (317) 834-3714 | Tracey Lynn Kirk, LPN
13 E. Mill St.,
Brooklyn, IN 46111
Ph: (317) 834-3714 |
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