Tracey Lynette Wilson, in Fairfax, VA - Medicare Counselor Provider

Tracey Lynette Wilson, is a medicare enrolled "Counselor" provider in Fairfax, Virginia. Her current practice location is 3613 Chain Bridge Rd Ste D, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 397-8163.

Tracey Lynette Wilson is licensed to practice in * (Not Available) (license number ) 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 1952062317.

Contact Information

	Tracey Lynette Wilson,
	3613 Chain Bridge Rd Ste D, Fairfax, VA 22030-3238
	(703) 397-8163
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracey Lynette Wilson
Gender	Female
Speciality	Counselor
Location	3613 Chain Bridge Rd Ste D, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952062317
Provider Enumeration Date: 01/06/2022
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 3072045327
Enrollment ID: I20241011002576

Medical Identifiers

Medical identifiers for Tracey Lynette Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952062317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Tracey Lynette Wilson allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514

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. Tracey Lynette Wilson 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
Tracey Lynette Wilson, 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 Ph: (703) 397-8163	Tracey Lynette Wilson, 3613 Chain Bridge Rd Ste D, Fairfax, VA 22030-3238 Ph: (703) 397-8163

Reviews and Comments

Counselor in Fairfax, VA

Ms. Saundra Kay Ladd, LPC, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 10195 Main St, Suite N, Fairfax, VA 22031 Phone: 703-591-9600
Erika Lanette Portillo, M.ED, LMHP-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030 Phone: 703-218-6599 Fax: 703-218-2012
Zaria Hardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3930 Walnut St Ste 250, Fairfax, VA 22030 Phone: 703-782-3710
Laura Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13130 Maltese Ln, Fairfax, VA 22033 Phone: 571-317-1597
Autumn Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Old Lee Hwy Ste 23a, Fairfax, VA 22030 Phone: 757-942-5140
Margaret Maxwell, RESIDENT COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 9677 Main St # A-b, Fairfax, VA 22031 Phone: 202-964-1209
Ms. Bethany Lorna Mclemore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10560 Main St Ste 112, Fairfax, VA 22030 Phone: 703-408-9873

Tracey Lynette Wilson, - Medicare Counselor in Fairfax, VA