Tracie Davis, in Carrollton, KY - Medicare Nurse Practitioner

Tracie Davis, is a medicare enrolled "Nurse Practitioner - Family" in Carrollton, Kentucky. Her current practice location is 309 11th St, Carrollton, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 732-3272.

Tracie Davis is licensed to practice in Indiana (license number 71014807A) 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 1639948946.

Contact Information

	Tracie Davis,
	309 11th St, Carrollton, KY 41008-1435
	(502) 732-3272
	(502) 732-3284

Map and Direction

Provider's Profile

Full Name	Tracie Davis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	309 11th St, Carrollton, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639948946
Provider Enumeration Date: 12/28/2023
Last Update Date: 04/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8022455096
Enrollment ID: I20240326002548

Medical Identifiers

Medical identifiers for Tracie Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639948946	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71014807A (Indiana)	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. Tracie Davis allows following entities to bill medicare on her behalf.

Entity Name	Ccmh Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225159601 PECOS PAC ID: 2365540465 Enrollment ID: O20080108000723

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. Tracie Davis 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
Tracie Davis, 8535 E Phillip Dr, Vevay, IN 47043-9478 Ph: (765) 620-6600	Tracie Davis, 309 11th St, Carrollton, KY 41008-1435 Ph: (502) 732-3272

Reviews and Comments

Nurse Practitioner Nurses in Carrollton, KY

Jennifer Ann Cole, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Marwill Dr Ste 1, Carrollton, KY 41008 Phone: 502-732-6956 Fax: 502-732-8209
Ms. Mary Meyer Blattman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-3272 Fax: 502-732-3284
Mrs. Jessica Margaret Sellers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-4321
Amber Adcock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-3272 Fax: 502-732-3284
Erica A. Chowning, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-3272 Fax: 502-732-3284
Kelli Koors, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2688 Us Highway 227, Carrollton, KY 41008 Phone: 859-578-3200

Tracie Davis, - Medicare Nurse Practitioner in Carrollton, KY