Tracey Outman, MS CCC-SLP in Lebanon, TN - Medicare Speech-Language Pathologist Provider

Tracey Outman, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Lebanon, Tennessee. Her current practice location is 932 E Baddour Pkwy, Lebanon, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 496-4914.

Tracey Outman is licensed to practice in Tennessee (license number 1340) 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 1043913718.

Contact Information

	Tracey Outman, MS CCC-SLP
	932 E Baddour Pkwy, Lebanon, TN 37087-3700
	(615) 496-4914
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracey Outman
Gender	Female
Speciality	Speech-language Pathologist
Location	932 E Baddour Pkwy, Lebanon, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043913718
Provider Enumeration Date: 03/22/2023
Last Update Date: 03/22/2023

Medicare PECOS Information:

PECOS PAC ID: 6002271954
Enrollment ID: I20230427001359

Medical Identifiers

Medical identifiers for Tracey Outman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043913718	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	1340 (Tennessee)	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. Tracey Outman allows following entities to bill medicare on her behalf.

Provider Name	Functional Pathways Preferred Of Tennessee Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20121228000137

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 Outman 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
Tracey Outman, MS CCC-SLP 5551 W Shady Trl, Old Hickory, TN 37138-1319 Ph: (615) 496-4914	Tracey Outman, MS CCC-SLP 932 E Baddour Pkwy, Lebanon, TN 37087-3700 Ph: (615) 496-4914

Reviews and Comments

Speech-Language Pathologist in Lebanon, TN

Krista Bright, SLP/CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 351 Stumpy Ln, Lebanon, TN 37090 Phone: 423-622-1551 Fax: 877-665-5586
Lauren Crotzer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6285 Se Tater Peeler Rd, Lebanon, TN 37090 Phone: 615-584-8284
Damaris Wilson, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 397 N Castle Heights Ave, Lebanon, TN 37087 Phone: 423-622-1551
Susan Victoria Graham, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 351 Stumpy Ln, Lebanon, TN 37090 Phone: 615-443-4445 Fax: 615-443-4448
Nancy Turner-jones, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 351 Stumpy Ln, Lebanon, TN 37090 Phone: 423-622-1551 Fax: 423-622-1556
Carson Morris, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 163 Business Park Dr Ste 11, Lebanon, TN 37090 Phone: 812-239-8368

Tracey Outman, MS CCC-SLP - Medicare Speech-Language Pathologist in Lebanon, TN