| Kathy Lynne Tracy, MD | |
|
176 Longville Church Rd, Longville, LA 70652-5036 | |
| (337) 794-5745 | |
| Not Available |
| Full Name | Kathy Lynne Tracy |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 176 Longville Church Rd, Longville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942255070 | NPI | - | NPPES |
| 1429082 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 023904 (Louisiana) | Primary |
| Entity Name | Acadia-st. Landry Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518981968 PECOS PAC ID: 3476458092 Enrollment ID: O20031205000219 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
| Entity Name | Rapid Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285970780 PECOS PAC ID: 0840437174 Enrollment ID: O20130506000203 |
| Entity Name | Jena Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235544115 PECOS PAC ID: 7810116258 Enrollment ID: O20140916002675 |
| Entity Name | Jena Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144635020 PECOS PAC ID: 5294954533 Enrollment ID: O20140918000317 |
| Entity Name | Oakdale Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
| Entity Name | Diabetes & Obesity Control Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841642717 PECOS PAC ID: 4486933553 Enrollment ID: O20161111001718 |
| Entity Name | Leatherwood Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760946313 PECOS PAC ID: 0749521250 Enrollment ID: O20190410002335 |
| Entity Name | Buxton Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845301 PECOS PAC ID: 8729321344 Enrollment ID: O20190523001057 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Lynne Tracy, MD 314 W Hale St, Lake Charles, LA 70601-8439 Ph: (337) 794-5745 | Kathy Lynne Tracy, MD 176 Longville Church Rd, Longville, LA 70652-5036 Ph: (337) 794-5745 |