Mrs Tracey S Brannon, LISW-CP is a medicare enrolled "Social Worker - Clinical" provider in Roebuck, South Carolina. She graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lifesource Of North Carolina and her current practice location is
129 Nursery Dr, Roebuck, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 621-0955.
Mrs Tracey S Brannon is licensed to practice in South Carolina (license number 6318) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518535426.
Healthcare Provider's Profile
| Full Name | Mrs Tracey S Brannon |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 24 Years |
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| Location | 129 Nursery Dr, Roebuck, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Tracey S Brannon graduated from medical school in 2002
NPI Data:
- NPI Number: 1518535426
- Provider Enumeration Date: 06/16/2021
- Last Update Date: 06/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 5496152456
- Enrollment ID: I20210920000282
Medical Identifiers
Medical identifiers for Mrs Tracey S Brannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518535426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 6318 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lifesource Of North Carolina | 7416132428 | 163 |
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. Mrs Tracey S Brannon allows following entities to bill medicare on her behalf.
| Entity Name | Regenesis Organization Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194710426 PECOS PAC ID: 8022928001 Enrollment ID: O20050127000120 |
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| Entity Name | Lifesource Of North Carolina |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901 |
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| Entity Name | Regenesis Organization Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982248852 PECOS PAC ID: 8022928001 Enrollment ID: O20210120001241 |
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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. Mrs Tracey S Brannon 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 |
Mrs Tracey S Brannon, LISW-CP 129 Nursery Dr, Roebuck, SC 29376-2725 Ph: (864) 621-0955 | Mrs Tracey S Brannon, LISW-CP 129 Nursery Dr, Roebuck, SC 29376-2725 Ph: (864) 621-0955 |
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