| Tracy Coats, Llc | |
|
77 E Water St Ste 206 Chillicothe OH 45601-2586 | |
| (740) 774-3440 | |
| (740) 774-3442 |
| Full Name | Tracy Coats, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 77 E Water St Ste 206, Chillicothe, Ohio |
| Authorized Official Name and Position | Tracy Coats (OWNER) |
| Authorized Official Contact | 7407743440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Coats, Llc Po Box 5 Chillicothe OH 45601-0005 Ph: (740) 649-0778 | Tracy Coats, Llc 77 E Water St Ste 206 Chillicothe OH 45601-2586 Ph: (740) 774-3440 |
| NPI Number | 1962171314 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 06/22/2023 |
| Certification Date | 01/20/2023 |
| Medicare PECOS PAC ID | 5193103604 |
|---|---|
| Medicare Enrollment ID | O20220610002265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962171314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lloyd W Coats |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477558906 PECOS PAC ID: 0547275554 Enrollment ID: I20060213000548 |
| Provider Name | Tracy Coats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558934729 PECOS PAC ID: 7911385430 Enrollment ID: I20220726001054 |
| Provider Name | Paula C Leist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083412969 PECOS PAC ID: 4789102286 Enrollment ID: I20250519001789 |
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