| Dr Tracy Lynn Kruzick, MD | |
| 80 Erdman Way Ste 315, Leominster, MA 01453-1840 | |
| (978) 537-4805 | |
| Not Available | 
| Full Name | Dr Tracy Lynn Kruzick | 
|---|---|
| Gender | Female | 
| Speciality | Allergy & Immunology | 
| Location | 80 Erdman Way Ste 315, Leominster, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558424812 | NPI | - | NPPES | 
| 9000200004 | Medicaid | CO | |
| 029563 | Other | CO | KAISER COMMERCIAL NUMBER | 
| FK0056728 | Other | CO | DEA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 238418 (Massachusetts) | Primary | 
| 207K00000X | Allergy & Immunology | DR.0046645 (Colorado) | Secondary | 
| Entity Name | Colorado Permanente Medical Group Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 | 
| Entity Name | Asthma & Allergy Associates, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043204829 PECOS PAC ID: 2466341177 Enrollment ID: O20040324001166 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Tracy Lynn Kruzick, MD Po Box 1000 Dept 453, Memphis, TN 38148-0001 Ph: (828) 575-2625 | Dr Tracy Lynn Kruzick, MD 80 Erdman Way Ste 315, Leominster, MA 01453-1840 Ph: (978) 537-4805 | 
| Francisco A Bonilla, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 79 Erdman Way, Ste 101, Leominster, MA 01453 Phone: 617-355-8594 Fax: 617-730-0310 | |
| Dr. Jordan E. Scott, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 79 Erdman Way, Suite 101, Leominster, MA 01453 Phone: 978-537-4805 Fax: 978-537-2185 | |
| David E. Riester, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 79 Erdman Way, Suite 101, Leominster, MA 01453 Phone: 978-537-4805 Fax: 978-537-2185 | |
| Dr. Geraldine Feldman, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 50 Memorial Dr, Ste 206, Leominster, MA 01453 Phone: 978-537-4805 Fax: 978-537-2185 | |
| John M. O'loughlin, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 80 Erdman Way, Suite 315., Leominster, MA 01453 Phone: 978-537-4805 Fax: 978-537-2185 |