Tracy Lee Collette, is a
Licensed Practical Nurse based in Randolph, Vermont. Tracy Lee Collette is licensed to practice in Vermont (license number 025-0007981) and her current practice location is
44 School St, Randolph, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 728-5924.
NPI number for Tracy Lee Collette is 1669620811 and her current mailing address is 44 School St Apt 2, Randolph, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669620811.
Provider's Profile
| Full Name | Tracy Lee Collette |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 44 School St, Randolph, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669620811
- Provider Enumeration Date: 08/29/2008
- Last Update Date: 08/29/2008
Medical Identifiers
Medical identifiers for Tracy Lee Collette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669620811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 025-0007981 (Vermont) | Primary |
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 Lee Collette is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tracy Lee Collette,
44 School St Apt 2,
Randolph, VT 05060-1150
Ph: (802) 728-5924 | Tracy Lee Collette,
44 School St,
Randolph, VT 05060-1150
Ph: (802) 728-5924 |
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