Tracie Grider, PMHNP-BC in Portsmouth, VA - Medicare Nurse Practitioner

Tracie Grider, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portsmouth, Virginia. Her current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 953-0609.

Tracie Grider is licensed to practice in Virginia (license number 2020146276) 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 1043881956.

Contact Information

	Tracie Grider, PMHNP-BC
	620 John Paul Jones Cir, Portsmouth, VA 23708-2111
	(757) 953-0609
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracie Grider
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043881956
Provider Enumeration Date: 07/02/2021
Last Update Date: 10/21/2024

Medicare PECOS Information:

PECOS PAC ID: 6406253210
Enrollment ID: I20240601000398

Medical Identifiers

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

Identifier	Type	State	Issuer
1043881956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0400X	Registered Nurse - Case Management	0001192036 (Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2020146276 (Virginia)	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 Grider allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514

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 Grider 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 Grider, PMHNP-BC 961 Olmstead St, Chesapeake, VA 23323-1463 Ph: (757) 319-7202	Tracie Grider, PMHNP-BC 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-0609

Reviews and Comments

Nurse Practitioner Nurses in Portsmouth, VA

Mr. John F Lyons, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-445-9187 Fax: 757-445-5443
Flordeliza Ablao-chanthavichith, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3235 Academy Ave, Suite 305, Portsmouth, VA 23703 Phone: 757-686-9300 Fax: 757-686-1514
Mrs. Keva Denise Hoyt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-393-1136 Fax: 757-698-2499
Jordan Cox, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200
Mr. Wilber C. Delorme, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Cent Portsmout Dermatology Clinic, Portsmouth, VA 23708 Phone: 757-953-0311
Heather Weaver Nelson, FNP-C, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-8351
Jennifer Pruhs, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-477-2875 Fax: 757-953-9035

Tracie Grider, PMHNP-BC - Medicare Nurse Practitioner in Portsmouth, VA