Tracy L Baxley Tullos, LCSW in Russellville, AR - Medicare Social Worker Provider

Tracy L Baxley Tullos, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Russellville, Arkansas. Her current practice location is 3106 W 2nd Ct, Suite 1, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 880-5100.

Tracy L Baxley Tullos is licensed to practice in Arkansas (license number 2041C) 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 1124120712.

Contact Information

	Tracy L Baxley Tullos, LCSW
	3106 W 2nd Ct, Suite 1, Russellville, AR 72801-4503
	(479) 880-5100
	(479) 880-5297

Healthcare Provider's Profile

Full Name	Tracy L Baxley Tullos
Gender	Female
Speciality	Social Worker - Clinical
Location	3106 W 2nd Ct, Russellville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124120712
Provider Enumeration Date: 09/02/2006
Last Update Date: 05/05/2015

Medicare PECOS Information:

PECOS PAC ID: 5294737540
Enrollment ID: I20070215000354

Medical Identifiers

Medical identifiers for Tracy L Baxley Tullos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124120712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2041C (Arkansas)	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. Tracy L Baxley Tullos 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
Tracy L Baxley Tullos, LCSW 3106 W 2nd Ct, Suite 1, Russellville, AR 72801-4503 Ph: (479) 880-5100	Tracy L Baxley Tullos, LCSW 3106 W 2nd Ct, Suite 1, Russellville, AR 72801-4503 Ph: (479) 880-5100

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Social Worker in Russellville, AR

Tessa Riffell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 Skyline Drive, Russellville, AR 72801 Phone: 479-968-1298 Fax: 479-968-6053
Audra Renae Prince, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St, Suite 3, Russellville, AR 72801 Phone: 479-498-6700
Danielle Beth Beck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364
Mrs. Florence R Duffee, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2504 W Main St Ste C, Russellville, AR 72801 Phone: 479-967-2024 Fax: 479-967-9203
Mrs. Sandra Jean Mathes, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 N Shamrock Blvd, Russellville, AR 72802 Phone: 501-303-3105
Jennifer Lee Goodman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364

Tracy L Baxley Tullos, LCSW - Medicare Clinical Social Worker in Russellville, AR