| Tracy L Houle, APRN | |
|
204 Keegan Rd, Plymouth, CT 06782-2608 | |
| (860) 340-8280 | |
| (860) 283-9851 |
| Full Name | Tracy L Houle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 204 Keegan Rd, Plymouth, Connecticut |
| 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 |
|---|---|---|---|
| 1699726869 | NPI | - | NPPES |
| 004247963 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SM0705X | Clinical Nurse Specialist - Medical-surgical | 002671 (Connecticut) | Secondary |
| 363L00000X | Nurse Practitioner | 2671 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gaylord Hospital, Inc. | 1153224191 | 32 |
| Entity Name | Gaylord Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730137753 PECOS PAC ID: 1153224191 Enrollment ID: O20040128000878 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy L Houle, APRN 12 Rolling Ridge Ct, Prospect, CT 06712-1737 Ph: (203) 758-0836 | Tracy L Houle, APRN 204 Keegan Rd, Plymouth, CT 06782-2608 Ph: (860) 340-8280 |
Joann Diaz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 86 Watch Tower Rd, Plymouth, CT 06782 Phone: 860-485-4931 | |
Ms. Catherine T. Milne, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Keegan Rd, Plymouth, CT 06782 Phone: 860-340-8280 | |
Katherine Warner, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Jackson St, Plymouth, CT 06782 Phone: 203-788-3632 |