Tracy Hennage, SLP is a medicare enrolled "Speech-language Pathologist" provider in Jonesborough, Tennessee. Her current practice location is
120 Newman Rd, Jonesborough, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 788-4468.
Tracy Hennage is licensed to practice in Tennessee (license number 5623) 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 1396304366.
Healthcare Provider's Profile
| Full Name | Tracy Hennage |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 120 Newman Rd, Jonesborough, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396304366
- Provider Enumeration Date: 06/12/2019
- Last Update Date: 06/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 2860817228
- Enrollment ID: I20200731001514
Medical Identifiers
Medical identifiers for Tracy Hennage such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396304366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 5623 (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. Tracy Hennage allows following entities to bill medicare on her behalf.
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376073262
PECOS PAC ID: 6507832573
Enrollment ID: O20171003005084 |
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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. Tracy Hennage 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 |
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Tracy Hennage, SLP
120 Newman Rd,
Jonesborough, TN 37659-6531
Ph: () - | Tracy Hennage, SLP
120 Newman Rd,
Jonesborough, TN 37659-6531
Ph: (423) 788-4468 |
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