Tracy Marie Dietz, FNP - Medicare Nurse Practitioner in Alton, IL

Tracy Marie Dietz, FNP is a medicare enrolled "Nurse Practitioner - Family" in Alton, Illinois. Her current practice location is 3523 Wickenhauser Ave, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 465-8887.

Tracy Marie Dietz is licensed to practice in Illinois (license number 209.011378) 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 1477941938.

Contact Information

Tracy Marie Dietz, FNP
3523 Wickenhauser Ave,
Alton, IL 62002
(618) 465-8887
Not Available



Provider's Profile

Full NameTracy Marie Dietz
GenderFemale
SpecialityNurse Practitioner - Family
Location3523 Wickenhauser Ave, Alton, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477941938
  • Provider Enumeration Date: 01/06/2015
  • Last Update Date: 09/28/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3476878562
  • Enrollment ID: I20150212000987

Medical Identifiers

Medical identifiers for Tracy Marie Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477941938NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.011378 (Illinois)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 Marie Dietz allows following entities to bill medicare on her behalf.
Entity NameDrynachan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891044657
PECOS PAC ID: 2264718824
Enrollment ID: O20170824001273

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Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451

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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 Marie Dietz 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
Tracy Marie Dietz, FNP
21333 Haggerty Rd,
Novi, MI 48375-5510

Ph: (248) 662-0250
Tracy Marie Dietz, FNP
3523 Wickenhauser Ave,
Alton, IL 62002

Ph: (618) 465-8887

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Nurse Practitioner Nurses in Alton, IL

Mrs. Misty D Biciocchi, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr, Ste 134, Alton, IL 62002
Phone: 618-607-1340    Fax: 618-622-9724
Lee A Tardino, MSN ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5935
Jodi R Lutz, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1650 Washington Ave, Alton, IL 62002
Phone: 314-687-2735    
Lisa K James, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002
Phone: 618-433-6170    
Laura L Brandenburg, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr, Ste 230b, Alton, IL 62002
Phone: 618-463-7777    Fax: 618-463-7767
Kelsey M Beard, FNP-BC, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5035
Anissa Fay Washington, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7300    

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