Grace A Tackie, MD in Bronx, NY - Medicare Pediatrics

Grace A Tackie, MD is a medicare enrolled "Pediatrics" physician in Bronx, New York. Her current practice location is 234 E 149th St Fl 4, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 579-5800.

Grace A Tackie is licensed to practice in New York (license number 330740) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154904803.

Contact Information

	Grace A Tackie, MD
	234 E 149th St Fl 4, Bronx, NY 10451-5504
	(718) 579-5800
	Not Available

Map and Direction

Physician's Profile

Full Name	Grace A Tackie
Gender	Female
Speciality	Pediatrics
Location	234 E 149th St Fl 4, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154904803
Provider Enumeration Date: 04/30/2021
Last Update Date: 11/12/2024

Medicare PECOS Information:

PECOS PAC ID: 4385185719
Enrollment ID: I20240925001339

Medical Identifiers

Medical identifiers for Grace A Tackie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154904803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	330740 (New York)	Primary

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. Grace A Tackie allows following entities to bill medicare on her behalf.

Entity Name	Physician Affiliate Group Of New York Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270

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. Grace A Tackie 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
Grace A Tackie, MD 234 E 149th St Fl 4, Bronx, NY 10451-5504 Ph: (718) 579-5800	Grace A Tackie, MD 234 E 149th St Fl 4, Bronx, NY 10451-5504 Ph: (718) 579-5800

Reviews and Comments

Pediatrics Doctors in Bronx, NY

Dr. Madhu Sharma, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Montefiore Medical Center, Bronx, NY 10467 Phone: 718-741-2538
Dr. Amanda Mcnear Jacobs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 E 210th St, Department Of Pediatrics, Bronx, NY 10467 Phone: 718-920-2306
Colleen Gerrity, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4487 3rd Ave, Bronx, NY 10457 Phone: 718-960-6497 Fax: 718-960-9138
Dr. Michelle Dominique Pintea, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4321
Prachie Garg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 718-992-7669
Mr. Rodolfo Comuyog Uy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 711 Nereid Ave, Bronx, NY 10466 Phone: 718-994-6755 Fax: 718-994-3032
Dr. Daniela Levanon, Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Pelham Pkwy S, Bronx, NY 10461 Phone: 718-918-3060 Fax: 718-918-4469

Grace A Tackie, MD - Medicare Pediatrics in Bronx, NY