| Tracy Lynn Genovese, | |
|
4605 Tutu Park Mall Ste 207, St Thomas, VI 00802 | |
| (340) 775-3700 | |
| Not Available |
| Full Name | Tracy Lynn Genovese |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4605 Tutu Park Mall Ste 207, St Thomas, Virgin Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518585462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 041401522 (Illinois) | Primary |
| Entity Name | The St Thomas East End Medical Center Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891799763 PECOS PAC ID: 1153366398 Enrollment ID: O20130521000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Lynn Genovese, 6501 Red Hook Plaza Box 664, Suite 201, St. Thomas, VI 00802 Ph: (630) 999-0266 | Tracy Lynn Genovese, 4605 Tutu Park Mall Ste 207, St Thomas, VI 00802 Ph: (340) 775-3700 |
Dr. Leighmin James Lu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9150 Estate Thomas, Suite 105 Vi Medical Foundation Bldg, St Thomas, VI 00801 Phone: 340-774-6947 Fax: 340-777-9522 | |
Dr. James Dallas Nelson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Upperhavensite Bld3 305, St Thomas, VI 00802 Phone: 340-774-3633 Fax: 340-776-2552 |