Tina G Rackley, SLP is a
Speech-language Pathologist based in Blakely, Georgia. Tina G Rackley is licensed to practice in Georgia (license number SLP005434) and her current practice location is
11740 Columbia St, Blakely, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 723-7241.
NPI number for Tina G Rackley is 1841409745 and her current mailing address is 920 Cairo Rd, Thomasville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841409745.
Healthcare Provider's Profile
| Full Name | Tina G Rackley |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 11740 Columbia St, Blakely, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841409745
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Tina G Rackley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841409745 | NPI | - | NPPES |
| 12050662 | Other | GA | ASHA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SLP005434 (Georgia) | 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. Tina G Rackley 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 |
|---|
Tina G Rackley, SLP
920 Cairo Rd,
Thomasville, GA 31792-4255
Ph: (229) 228-8800 | Tina G Rackley, SLP
11740 Columbia St,
Blakely, GA 39823-2574
Ph: (229) 723-7241 |
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