Allison Theresa Tracy, FNP-C - Medicare Nurse Practitioner in Watertown, SD

Allison Theresa Tracy, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Watertown, South Dakota. Her current practice location is 1512 4th St Ne, Watertown, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 884-0100.

Allison Theresa Tracy is licensed to practice in South Dakota (license number CP002916) 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 1114609104.

Contact Information

Allison Theresa Tracy, FNP-C
1512 4th St Ne,
Watertown, SD 57201-6824
(605) 884-0100
Not Available



Provider's Profile

Full NameAllison Theresa Tracy
GenderFemale
SpecialityNurse Practitioner - Family
Location1512 4th St Ne, Watertown, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114609104
  • Provider Enumeration Date: 08/01/2023
  • Last Update Date: 08/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779947726
  • Enrollment ID: I20230911001119

Medical Identifiers

Medical identifiers for Allison Theresa Tracy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114609104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CP002916 (South Dakota)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. Allison Theresa Tracy allows following entities to bill medicare on her behalf.
Entity NameLakeside Pain Center Prof Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295478907
PECOS PAC ID: 8820472814
Enrollment ID: O20220824002982

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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. Allison Theresa Tracy 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
Allison Theresa Tracy, FNP-C
18025 468th Ave,
Clear Lake, SD 57226-5320

Ph: (605) 520-0302
Allison Theresa Tracy, FNP-C
1512 4th St Ne,
Watertown, SD 57201-6824

Ph: (605) 884-0100

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Nurse Practitioner Nurses in Watertown, SD

Mrs. Jacklyn Ann Karli, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 401 9th Ave Nw, Watertown, SD 57201
Phone: 605-882-7953    
Bethany K Schultz, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 4th St Nw, Watertown, SD 57201
Phone: 605-886-8471    
Stefanie Robinson,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1056 29th St Se, Watertown, SD 57201
Phone: 605-753-0960    
Melissa J Magstadt, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1028 29th St Se, Watertown, SD 57201
Phone: 605-878-2888    
Kristina R Boetel, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 506 1st Ave Se, Watertown, SD 57201
Phone: 605-886-8482    Fax: 605-884-4300
Kristie L Goens, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 401 9th Ave Nw, Watertown, SD 57201
Phone: 605-882-5455    Fax: 605-882-5452

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