| Dr Jerry J Tracy Iii, MD | |
|
308 S Harbor City Blvd Ste A, Melbourne, FL 32901-1500 | |
| (321) 733-0064 | |
| Not Available |
| Full Name | Dr Jerry J Tracy Iii |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 41 Years |
| Location | 308 S Harbor City Blvd Ste A, Melbourne, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477506251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | ME154017 (Florida) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | 35064726 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hardin Medical Center | Savannah, TN | Hospital |
| Paulding County Hospital | Paulding, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Pain And Rehabilitation Associates Inc | 6204732605 | 71 |
| Pain Management Group Llc | 0143453670 | 53 |
| Pain Management Group Llc | 0143453670 | 53 |
| Entity Name | Florida Pain And Rehabilitation Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053363457 PECOS PAC ID: 6204732605 Enrollment ID: O20031219000145 |
| Entity Name | Pain Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376706283 PECOS PAC ID: 4880756204 Enrollment ID: O20081218000748 |
| Entity Name | National Surgical Centers Of America Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1770724122 PECOS PAC ID: 0143365205 Enrollment ID: O20100301000970 |
| Entity Name | National Surgical Centers Of America Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1063853174 PECOS PAC ID: 0143365205 Enrollment ID: O20131219001320 |
| Entity Name | National Surgical Centers Of America Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1992040976 PECOS PAC ID: 0143365205 Enrollment ID: O20140424001550 |
| Entity Name | National Surgical Centers Of America Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346662186 PECOS PAC ID: 0143365205 Enrollment ID: O20140424002084 |
| Entity Name | Pain Management Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063831303 PECOS PAC ID: 0143453670 Enrollment ID: O20230322000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry J Tracy Iii, MD 11350 Mccormick Rd Ste 501, Hunt Valley, MD 21031-1002 Ph: (703) 914-8000 | Dr Jerry J Tracy Iii, MD 308 S Harbor City Blvd Ste A, Melbourne, FL 32901-1500 Ph: (321) 733-0064 |
Li Jin Voepel, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4015 N Harbor City Blvd, Melbourne, FL 32935 Phone: 321-821-6893 Fax: 772-228-8332 | |
Dr. Vijay Katukuri, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 7332 Office Park Pl Ste 103, Melbourne, FL 32940 Phone: 321-327-9788 | |
Markand J Patel, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 E Nasa Blvd Fl 2, Melbourne, FL 32901 Phone: 321-723-9175 Fax: 321-723-9176 | |
Dr. Nancy Lr Layton, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 E New Haven Ave, Melbourne, FL 32901 Phone: 321-729-8223 Fax: 321-729-6252 | |
Luiz M Massa, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 7125 Murrell Rd Ste C, Melbourne, FL 32940 Phone: 321-434-9272 Fax: 321-434-9274 |