Traci Higginbotham, CRNP in Birmingham, AL - Medicare Nurse Practitioner

Traci Higginbotham, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Birmingham, Alabama. Her current practice location is 2100 Southbridge Pkwy Ste 650, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 533-8902.

Traci Higginbotham is licensed to practice in Alabama (license number 1-131304) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205375730.

Contact Information

	Traci Higginbotham, CRNP
	2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302
	(205) 533-8902
	(855) 737-5542

Map and Direction

Provider's Profile

Full Name	Traci Higginbotham
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	2100 Southbridge Pkwy Ste 650, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205375730
Provider Enumeration Date: 02/16/2017
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 0345525986
Enrollment ID: I20170323000149

Medical Identifiers

Medical identifiers for Traci Higginbotham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205375730	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	1-131304 (Alabama)	Primary

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. Traci Higginbotham allows following entities to bill medicare on her behalf.

Entity Name	State Of Alabama Dept Of Mental Health & Mental Retardation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619190998 PECOS PAC ID: 5698684090 Enrollment ID: O20031205000194

Entity Name	Carelon Medical Partners, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20150324002614

Entity Name	West Alabama Palliative Care Service Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619326857 PECOS PAC ID: 3476846312 Enrollment ID: O20160729000420

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. Traci Higginbotham 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
Traci Higginbotham, CRNP 333 Commerce St Ste 700, Nashville, TN 37201-1835 Ph: (615) 627-2293	Traci Higginbotham, CRNP 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 Ph: (205) 533-8902

Reviews and Comments

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Traci Higginbotham, CRNP - Medicare Nurse Practitioner in Birmingham, AL