Dr Alexis A Tracy, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Talent, Oregon. She went to West Virginia School Of Osteopathic Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Dotare Llc, Providence Health And Services Oregon and her current practice location is
280 S Pacific Hwy, Talent, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 500-4199.
Dr Alexis A Tracy is licensed to practice in Oregon (license number DO210290) 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 1689870750.
Physician's Profile
| Full Name | Dr Alexis A Tracy |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine And Rehabilitation |
|---|
| Experience | 18 Years |
|---|
| Location | 280 S Pacific Hwy, Talent, Oregon |
|---|
| 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:
- Dr Alexis A Tracy attended and graduated from West Virginia School Of Osteopathic Medicine in 2007
NPI Data:
- NPI Number: 1689870750
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294906103
- Enrollment ID: I20220510000336
Medical Identifiers
Medical identifiers for Dr Alexis A Tracy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689870750 | NPI | - | NPPES |
| 500806720 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 2580 (West Virginia) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 52236-24 (Wisconsin) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 59109 (Colorado) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | DO210290 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Dotare Llc | 4789111493 | 2 |
| Providence Health And Services Oregon | 5294623245 | 158 |
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. Dr Alexis A Tracy allows following entities to bill medicare on her behalf.
| Entity Name | Providence Health & Services - Oregon |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
|---|
| Entity Name | Providence Health & Services Oregon |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
|---|
| Entity Name | Valley Plastic Surgery Llc |
|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
|---|
| Entity Identifiers | NPI Number: 1124396544 PECOS PAC ID: 8224298179 Enrollment ID: O20120329000790 |
|---|
| Entity Name | Pain Relief Institute Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1629331293 PECOS PAC ID: 3779730908 Enrollment ID: O20120823000299 |
|---|
| Entity Name | Dotare Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1114752110 PECOS PAC ID: 4789111493 Enrollment ID: O20241219001101 |
|---|
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. Dr Alexis A 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 Address | Practice Location Address |
Dr Alexis A Tracy, DO 280 S Pacific Hwy, Talent, OR 97540-6649 Ph: (541) 500-4199 | Dr Alexis A Tracy, DO 280 S Pacific Hwy, Talent, OR 97540-6649 Ph: (541) 500-4199 |
Reviews and Comments