| Dr Kevin Patrick Tracy, MD | |
|
1770 Skylyn Dr, Spartanburg, SC 29307-1045 | |
| (864) 582-7892 | |
| (864) 582-1582 |
| Full Name | Dr Kevin Patrick Tracy |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Rheumatology |
| Location | 1770 Skylyn Dr, Spartanburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215993159 | NPI | - | NPPES |
| P00386917 | Other | SC | MEDICARE RAILROAD |
| 148156 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 14815 (South Carolina) | Primary |
| Entity Name | Providence House Calls Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689912495 PECOS PAC ID: 1759528250 Enrollment ID: O20130430000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Patrick Tracy, MD Po Box 277827, Atlanta, GA 30384-7827 Ph: (864) 253-8080 | Dr Kevin Patrick Tracy, MD 1770 Skylyn Dr, Spartanburg, SC 29307-1045 Ph: (864) 582-7892 |
Dr. Tondre Buck, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Adam Evec, DO Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 500, Spartanburg, SC 29303 Phone: 864-560-4304 Fax: 864-560-4023 | |
Larry E Kibler, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 | |
Dr. Vikas Dembla, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Dr. Andrew Omoit Ekatan, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Suite 401, Spartanburg, SC 29303 Phone: 864-560-6654 Fax: 864-560-7353 | |
Stetson Reed Bickley, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644 | |
Dr. Ryan Scott Rhodes, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 843-330-8923 |