Tracie Mixon Woodward, NP is a medicare enrolled "Clinic/center - Urgent Care" in Hartsville, South Carolina. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
305 W Bobo Newsom Highway, Hartsville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 309-3028.
Tracie Mixon Woodward is licensed to practice in South Carolina (license number 18982) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568701100.
Provider's Profile
| Full Name | Tracie Mixon Woodward |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 305 W Bobo Newsom Highway, Hartsville, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tracie Mixon Woodward graduated from nursing school in 2012
NPI Data:
- NPI Number: 1568701100
- Provider Enumeration Date: 02/01/2013
- Last Update Date: 04/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 0749428803
- Enrollment ID: I20141028002376
Medical Identifiers
Medical identifiers for Tracie Mixon Woodward such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568701100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 173940 (Tennessee) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 18982 (South Carolina) | Primary |
Medical Facilities Affiliation
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 Mixon Woodward allows following entities to bill medicare on her behalf.
| Entity Name | Hometown Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669714606
PECOS PAC ID: 4880955384
Enrollment ID: O20180226000695 |
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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 Mixon Woodward 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 |
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Tracie Mixon Woodward, NP
305 W Bobo Newsom Highway,
Hartsville, SC 29550
Ph: (843) 437-5456 | Tracie Mixon Woodward, NP
305 W Bobo Newsom Highway,
Hartsville, SC 29550
Ph: (843) 309-3028 |
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