| Patrice Tracy, LPC | |
|
1221 Mercantile Ln, Largo, MD 20774-5374 | |
| (301) 618-5500 | |
| Not Available |
| Full Name | Patrice Tracy |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1221 Mercantile Ln, Largo, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972901775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LGP4989 (Maryland) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrice Tracy, LPC 2101 E Jefferson St # 6w, Rockville, MD 20852-4908 Ph: (301) 816-5853 | Patrice Tracy, LPC 1221 Mercantile Ln, Largo, MD 20774-5374 Ph: (301) 618-5500 |
Lajoy Robin Preston, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Mercantile Ln, 141-d, Largo, MD 20774 Phone: 240-242-9044 | |
Mr. Lawrence Terrel Jones, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9701 Apollo Dr Ste 100, Largo, MD 20774 Phone: 240-701-1109 | |
Beth Schapiro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9475 Lottsford Rd, Largo, MD 20774 Phone: 301-636-6504 | |
Cheryl Moses, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9475 Lottsford Rd, Largo, MD 20774 Phone: 301-636-6504 | |
Weptanomah Carter Davis, PHD, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Mercantile Ln Ste 208, Largo, MD 20774 Phone: 301-583-0001 | |
Peggy D Maclin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Mercantile Ln, Largo, MD 20774 Phone: 301-583-0001 | |
Mr. Quintin Talley, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9475 Lottsford Rd Ste 250, Largo, MD 20774 Phone: 301-636-6504 Fax: 301-636-6509 |