Tracey Marie Dixon, | |
2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | |
(800) 370-3651 | |
(877) 515-7147 |
Full Name | Tracey Marie Dixon |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 2595 Interstate Dr Ste 103, Harrisburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538726179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | SP020197 (Pennsylvania) | Primary |
Entity Name | Advanced Inpatient Medicine Transitional Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609247030 PECOS PAC ID: 2365742079 Enrollment ID: O20151202002396 |
Mailing Address | Practice Location Address |
---|---|
Tracey Marie Dixon, 225 Stryjak Rd, Mountain Top, PA 18707-9381 Ph: (570) 709-1953 | Tracey Marie Dixon, 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 Ph: (800) 370-3651 |
Mrs. Elena Yurievna Nebrat, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 South Front Street, 4th Floor, Bma, Harrisburg, PA 17104 Phone: 717-231-8555 Fax: 717-231-8568 | |
Jonelle R Derk, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3380 Fax: 717-782-5716 | |
Yanxia Wang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 South Front Street, 6th Floor Bma, Harrisburg, PA 17104 Phone: 717-988-9370 Fax: 717-703-0154 | |
Justin Rogers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3131 | |
Irene Nkem, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2192 Versailles Dr, Harrisburg, PA 17112 Phone: 312-401-6646 | |
Kathleen Yesavage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 Phone: 717-724-6780 Fax: 717-724-6781 | |
Janie Cozzoli, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Sir Thomas Ct, Harrisburg, PA 17109 Phone: 717-652-9555 Fax: 717-791-2621 |