Tracy Ann Threat, FNP-BC in Detroit, MI - Medicare Nurse Practitioner

Tracy Ann Threat, FNP-BC is a medicare enrolled "Nurse Practitioner" in Detroit, Michigan. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Mary Mercy Physician Practices and her current practice location is 5555 Conner St, Suite 2691, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 579-1182.

Tracy Ann Threat is licensed to practice in Michigan (license number 4704223743) 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 1891951711.

Contact Information

	Tracy Ann Threat, FNP-BC
	5555 Conner St, Suite 2691, Detroit, MI 48213-3448
	(313) 579-1182
	(313) 579-5128

Map and Direction

Provider's Profile

Full Name	Tracy Ann Threat
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	5555 Conner St, Detroit, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracy Ann Threat graduated from nursing school in 2008

NPI Data:

NPI Number: 1891951711
Provider Enumeration Date: 07/30/2008
Last Update Date: 11/18/2021

Medicare PECOS Information:

PECOS PAC ID: 7810057726
Enrollment ID: I20081122000092

Medical Identifiers

Medical identifiers for Tracy Ann Threat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891951711	NPI	-	NPPES
11971276	Other	MI	CAQH ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704223743 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St John Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Mary Mercy Physician Practices	4587742804	7

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 Ann Threat allows following entities to bill medicare on her behalf.

Entity Name	St Mary Mercy Physician Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568630077 PECOS PAC ID: 4587742804 Enrollment ID: O20080425000614

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 Ann Threat 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
Tracy Ann Threat, FNP-BC 5555 Conner St Ste 2691, Detroit, MI 48213-3812 Ph: (313) 692-8400	Tracy Ann Threat, FNP-BC 5555 Conner St, Suite 2691, Detroit, MI 48213-3448 Ph: (313) 579-1182

Reviews and Comments

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Kathleen Mclaughlin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3980 John R, Detroit, MI 48201 Phone: 888-362-2500

Tracy Ann Threat, FNP-BC - Medicare Nurse Practitioner in Detroit, MI