Tracey G Anderson, is a
Occupational Therapist based in Heritage, Tennessee. Tracey G Anderson is licensed to practice in Tennessee (license number OT36200) and her current practice location is
3515 Central Pike, Suite 104, Heritage, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(800) 381-2195.
NPI number for Tracey G Anderson is 1912460965 and her current mailing address is 4500 Satellite Blvd Ste 2250, Duluth, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912460965.
Healthcare Provider's Profile
| Full Name | Tracey G Anderson |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 3515 Central Pike, Heritage, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912460965
- Provider Enumeration Date: 04/08/2019
- Last Update Date: 04/08/2019
Medical Identifiers
Medical identifiers for Tracey G Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912460965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT36200 (Tennessee) | 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. Tracey G Anderson 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 |
|---|
Tracey G Anderson,
4500 Satellite Blvd Ste 2250,
Duluth, GA 30096-5047
Ph: (800) 381-2195 | Tracey G Anderson,
3515 Central Pike, Suite 104,
Heritage, TN 37066
Ph: (800) 381-2195 |
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