| Jacqueline Tracey, | |
|
200 Medical Park Dr, Suite 430, Concord, NC 28025-2982 | |
| (704) 403-7070 | |
| Not Available |
| Full Name | Jacqueline Tracey |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 26 Years |
| Location | 200 Medical Park Dr, Concord, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013136415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2015-01537 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stanly Regional Medical Center | Albemarle, NC | Hospital |
| Carolinas Medical Center-northeast | Concord, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolinas Physicians Network Inc. | 3375449655 | 2100 |
| Entity Name | Carolinas Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
| Entity Name | Mission Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548532021 PECOS PAC ID: 0648189969 Enrollment ID: O20120316000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Tracey, 200 Medical Park Drive, Concord, NC 28025 Ph: () - | Jacqueline Tracey, 200 Medical Park Dr, Suite 430, Concord, NC 28025-2982 Ph: (704) 403-7070 |
Medhat William Takla, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr, Ste 230, Concord, NC 28025 Phone: 704-403-1349 | |
Matthew David Fox, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr, Ste 430, Concord, NC 28025 Phone: 704-403-7070 | |
Laura Elizabeth Hudson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr Ste 400, Concord, NC 28025 Phone: 704-786-1108 Fax: 704-782-1826 | |
Jennifer Brooke Hale, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1311 | |
Michael Joseph Beckman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr, Ste 430, Concord, NC 28025 Phone: 704-403-5890 | |
Dr. James Nelson Iglehart, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr Ste 400, Concord, NC 28025 Phone: 704-786-1108 Fax: 704-786-1121 |