Tracy S Ervin, in Jacksonville, FL - Medicare Nurse Practitioner

Tracy S Ervin, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, Florida. Her current practice location is 580 W 8th St, Box T-11, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 244-3990.

Tracy S Ervin is licensed to practice in Florida (license number ARNP9328203) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508286212.

Contact Information

	Tracy S Ervin,
	580 W 8th St, Box T-11, Jacksonville, FL 32209-6533
	(904) 244-3990
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracy S Ervin
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	580 W 8th St, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508286212
Provider Enumeration Date: 04/21/2014
Last Update Date: 06/12/2015

Medicare PECOS Information:

PECOS PAC ID: 0446476394
Enrollment ID: I20140729002344

Medical Identifiers

Medical identifiers for Tracy S Ervin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508286212	NPI	-	NPPES
014760900	Medicaid	FL
012180900	Medicaid	FL
003151484A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	ARNP9328203 (Florida)	Primary

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 S Ervin allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20051221000986

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 S Ervin 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 S Ervin, 388 Sw 62nd Blvd Apt 7, Gainesville, FL 32607-2050 Ph: (740) 334-7385	Tracy S Ervin, 580 W 8th St, Box T-11, Jacksonville, FL 32209-6533 Ph: (904) 244-3990

Reviews and Comments

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Tracy S Ervin, - Medicare Nurse Practitioner in Jacksonville, FL