Dr Tracy Jo Drahota, PSYD | |
870 S Front St Ste 200, Central Point, OR 97502-2779 | |
(541) 732-8000 | |
Not Available |
Full Name | Dr Tracy Jo Drahota |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 16 Years |
Location | 870 S Front St Ste 200, Central Point, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134425929 | NPI | - | NPPES |
500788403 | Medicaid | OR | |
684311 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 4145 (Arizona) | Secondary |
103TC0700X | Psychologist - Clinical | 3289 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 5294623245 | 152 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
Mailing Address | Practice Location Address |
---|---|
Dr Tracy Jo Drahota, PSYD Po Box 3158, Portland, OR 97208-3158 Ph: (541) 732-8000 | Dr Tracy Jo Drahota, PSYD 870 S Front St Ste 200, Central Point, OR 97502-2779 Ph: (541) 732-8000 |
Eunbeen Lee, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 870 S Front St Ste 200, Central Point, OR 97502 Phone: 541-732-8000 Fax: 541-732-3404 | |
Dr. Alan Ledford, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 312 Oak St Ste 205, Central Point, OR 97502 Phone: 541-499-0344 Fax: 510-868-2924 | |
Dr. Howard M Fleischman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 870 S Front St Ste 200, Central Point, OR 97502 Phone: 541-664-3346 |