Tracy L Fry, APRN | |
3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | |
(417) 347-8200 | |
Not Available |
Full Name | Tracy L Fry |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 3333 Mcintosh Cir Ste 4, Joplin, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174070205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 153513 (Kansas) | Secondary |
363L00000X | Nurse Practitioner | 2017044184 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Integris Grove Hospital | Grove, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Community Clinics Pa | 2567361165 | 21 |
Integrated Community Clinics Pa | 2567361165 | 21 |
Entity Name | Integrated Community Clinics Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760440226 PECOS PAC ID: 2567361165 Enrollment ID: O20040616001145 |
Entity Name | Grand Lake Health Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619459708 PECOS PAC ID: 8527310176 Enrollment ID: O20181009001366 |
Mailing Address | Practice Location Address |
---|---|
Tracy L Fry, APRN Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-3649 | Tracy L Fry, APRN 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 Ph: (417) 347-8200 |
Thad L Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-2906 | |
Ashley Southern-devoe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-3703 | |
Kevin Michael Teel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 S. Jackson Avenue, Joplin, MO 64804 Phone: 417-624-0440 Fax: 417-624-9652 | |
Brittany Ann Putt, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866 | |
Sandra J Tinney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Circle, Suite 101, Joplin, MO 64804 Phone: 417-781-9200 Fax: 417-781-9471 | |
Crystal Joy Dyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1901 E 32nd St, Suite 20, Joplin, MO 64804 Phone: 417-781-2046 Fax: 417-781-2086 | |
Jessica Calista Holly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1331 W 32nd St, Joplin, MO 64804 Phone: 417-347-6737 |