Ms Tracy R Smith, MS, CCC-A - Medicare Audiologist in Fort Defiance, AZ

Ms Tracy R Smith, MS, CCC-A is a medicare enrolled "Audiologist" provider in Fort Defiance, Arizona. Her current practice location is Corner Of Route N12 & N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8912.

Ms Tracy R Smith is licensed to practice in Pennsylvania (license number AT000994L) 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 1568694420.

Contact Information

Ms Tracy R Smith, MS, CCC-A
Corner Of Route N12 & N7,
Fort Defiance, AZ 86504
(928) 729-8912
Not Available



Healthcare Provider's Profile

Full NameMs Tracy R Smith
GenderFemale
SpecialityAudiologist
LocationCorner Of Route N12 & N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568694420
  • Provider Enumeration Date: 08/11/2009
  • Last Update Date: 05/06/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4880834720
  • Enrollment ID: I20130717000356

Medical Identifiers

Medical identifiers for Ms Tracy R Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568694420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist AT000994L (Pennsylvania)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. Ms Tracy R Smith allows following entities to bill medicare on her behalf.
Provider NameThe Fort Defiance Indian Hospital Board, Incorporation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1477876639
PECOS PAC ID: 0941336697
Enrollment ID: O20100429001153

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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. Ms Tracy R Smith 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 AddressPractice Location Address
Ms Tracy R Smith, MS, CCC-A
Po Box 649,
Fort Defiance, AZ 86504-0649

Ph: (928) 729-8912
Ms Tracy R Smith, MS, CCC-A
Corner Of Route N12 & N7,
Fort Defiance, AZ 86504

Ph: (928) 729-8912

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Audiologist in Fort Defiance, AZ

Ms. Betty Ann Garner, MA
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: Fort Defiance Phs Hospital, Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8782    
Roberta Jean Simpson, M.A.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: Fort Defiance Indian Hospital, Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    

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