Tracy A Proctor, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Youngwood, Pennsylvania. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Thrive Counseling Llc, Stacey Renee Tesauro Inc. and her current practice location is
1050 Depot St, Youngwood, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 635-0591.
Tracy A Proctor is licensed to practice in Pennsylvania (license number SP020961) 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 1306489174.
Provider's Profile
| Full Name | Tracy A Proctor |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 1050 Depot St, Youngwood, Pennsylvania |
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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:
- Tracy A Proctor graduated from nursing school in 2019
NPI Data:
- NPI Number: 1306489174
- Provider Enumeration Date: 10/23/2019
- Last Update Date: 10/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 7719373679
- Enrollment ID: I20220404000113
Medical Identifiers
Medical identifiers for Tracy A Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306489174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP020961 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Thrive Counseling Llc | 0749458420 | 848 |
| Stacey Renee Tesauro Inc. | 4880049782 | 4 |
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. Tracy A Proctor allows following entities to bill medicare on her behalf.
| Entity Name | Thrive Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20120416000069 |
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| Entity Name | The Groves Psychological Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669051579
PECOS PAC ID: 1658774245
Enrollment ID: O20210720001787 |
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| Entity Name | Stacey Renee Tesauro Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194425603
PECOS PAC ID: 4880049782
Enrollment ID: O20231012002893 |
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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. Tracy A Proctor 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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Tracy A Proctor, CRNP
1050 Depot St,
Youngwood, PA 15697-1360
Ph: (724) 635-0591 | Tracy A Proctor, CRNP
1050 Depot St,
Youngwood, PA 15697-1360
Ph: (724) 635-0591 |
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