Allison Theresa Tracy, FNP-C - Medicare Nurse Practitioner in Watertown, SD

Allison Theresa Tracy, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Watertown, South Dakota. Her current practice location is 1512 4th St Ne, Watertown, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 884-0100.

Allison Theresa Tracy is licensed to practice in South Dakota (license number CP002916) 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 1114609104.

Contact Information

Allison Theresa Tracy, FNP-C
1512 4th St Ne,
Watertown, SD 57201-6824
(605) 884-0100
Not Available

Map and Direction




Provider's Profile

Full NameAllison Theresa Tracy
GenderFemale
SpecialityNurse Practitioner - Family
Location1512 4th St Ne, Watertown, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114609104
  • Provider Enumeration Date: 08/01/2023
  • Last Update Date: 08/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779947726
  • Enrollment ID: I20230911001119

Medical Identifiers

Medical identifiers for Allison Theresa Tracy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114609104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CP002916 (South Dakota)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. Allison Theresa Tracy allows following entities to bill medicare on her behalf.
Entity NameLakeside Pain Center Prof Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295478907
PECOS PAC ID: 8820472814
Enrollment ID: O20220824002982

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. Allison Theresa Tracy 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 AddressPractice Location Address
Allison Theresa Tracy, FNP-C
18025 468th Ave,
Clear Lake, SD 57226-5320

Ph: (605) 520-0302
Allison Theresa Tracy, FNP-C
1512 4th St Ne,
Watertown, SD 57201-6824

Ph: (605) 884-0100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.