Dr Tracey Lee Alysson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Tannersville, Pennsylvania. She graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
2937 Route 611, Tannersville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 269-5581.
Dr Tracey Lee Alysson is licensed to practice in Pennsylvania (license number PS017890) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427109289.
Healthcare Provider's Profile
Full Name | Dr Tracey Lee Alysson |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 44 Years |
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Location | 2937 Route 611, Tannersville, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Tracey Lee Alysson graduated from medical school in 1980
NPI Data:
- NPI Number: 1427109289
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 11/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 9133178858
- Enrollment ID: I20050119000891
Medical Identifiers
Medical identifiers for Dr Tracey Lee Alysson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427109289 | NPI | - | NPPES |
0602230YONHOI | Other | NH | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | NH260 (New Hampshire) | Secondary |
103TC0700X | Psychologist - Clinical | PS017890 (Pennsylvania) | Primary |
103TC0700X | Psychologist - Clinical | 3193 (Massachusetts) | Secondary |
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. Dr Tracey Lee Alysson 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 |
Dr Tracey Lee Alysson, PHD 3021 Valley View Dr, Bangor, PA 18013-6130 Ph: (603) 313-2517 | Dr Tracey Lee Alysson, PHD 2937 Route 611, Tannersville, PA 18372-9990 Ph: (570) 269-5581 |
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