Tracie Medrano- Smith, DO - Medicare Pediatrics in Wyoming, MI

Tracie Medrano- Smith, DO is a medicare enrolled "Pediatrics" physician in Wyoming, Michigan. Her current practice location is 4174 56th St Sw, Wyoming, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 458-3677.

Tracie Medrano- Smith is licensed to practice in Michigan (license number 5315069986) 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 1710368782.

Contact Information

Tracie Medrano- Smith, DO
4174 56th St Sw,
Wyoming, MI 49418
(616) 458-3677
Not Available



Physician's Profile

Full NameTracie Medrano- Smith
GenderFemale
SpecialityPediatrics
Location4174 56th St Sw, Wyoming, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710368782
  • Provider Enumeration Date: 06/15/2015
  • Last Update Date: 08/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9638482474
  • Enrollment ID: I20150722004442

Medical Identifiers

Medical identifiers for Tracie Medrano- Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710368782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101021683 (Michigan)Secondary
208000000XPediatrics 5315069986 (Michigan)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. Tracie Medrano- 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
Tracie Medrano- Smith, DO
4288 3 Mile Rd Nw,
Walker, MI 49534-7596

Ph: (616) 458-3677
Tracie Medrano- Smith, DO
4174 56th St Sw,
Wyoming, MI 49418

Ph: (616) 458-3677

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Pediatrics Doctors in Wyoming, MI

Robert Bulten, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4340 Burlingame Ave Sw, Wyoming, MI 49509
Phone: 616-475-7922    Fax: 616-475-7926
Dr. Janet F Johns, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 56th St Sw, Wyoming, MI 49509
Phone: 616-514-3803    Fax: 616-243-1170
Dr. Charles G. Lawrence, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 56th St Sw, Wyoming, MI 49509
Phone: 616-243-5707    Fax: 616-243-1170
Tiffany Allyn Letts, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2215 44th St Sw, Wyoming, MI 49519
Phone: 616-252-8300    Fax: 616-252-8461
Dr. Rebecca L. Maki, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 56th St Sw, Wyoming, MI 49509
Phone: 616-243-5707    Fax: 616-243-1170
Dr. Jamie D. Bosch, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 56th St Sw, Wyoming, MI 49509
Phone: 616-243-5707    Fax: 616-243-1170
Dr. Andrew Dillon Smith, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2215 44th St Sw, Wyoming, MI 49519
Phone: 616-252-8300    

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