Tracey Michelle Foreman, FNP | |
5482 Highway 15 N, Ecru, MS 38841-8471 | |
(662) 488-8799 | |
Not Available |
Full Name | Tracey Michelle Foreman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5482 Highway 15 N, Ecru, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083386643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R879104 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 904964 (Mississippi) | Primary |
Entity Name | Friendship Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586273 PECOS PAC ID: 0648275024 Enrollment ID: O20060918000250 |
Entity Name | Progressive Medical Management Of Batesville Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700349222 PECOS PAC ID: 0345583225 Enrollment ID: O20191114002265 |
Mailing Address | Practice Location Address |
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Tracey Michelle Foreman, FNP 5482 Highway 15 N, Ecru, MS 38841-8471 Ph: (662) 488-8799 | Tracey Michelle Foreman, FNP 5482 Highway 15 N, Ecru, MS 38841-8471 Ph: (662) 488-8799 |
Allison Miller Bailey, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7618 Hwy 15 North, Ecru, MS 38841 Phone: 662-489-6522 Fax: 662-234-4749 | |
Sabrina Davidson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Highway 15 N, Ecru, MS 38841 Phone: 662-488-8799 Fax: 662-488-8729 | |
Megan Springer Howell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799 | |
Jennifer Chism Bolen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799 | |
Paige Sparks, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799 | |
Katie Antle, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5482 Highway 15 N, Ecru, MS 38841 Phone: 662-488-8799 |