Deirdre Tara Tracey, - Medicare Nurse Practitioner in Grosse Pointe, MI

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Deirdre Tara Tracey, is a medicare enrolled "Nurse Practitioner - Family" in Grosse Pointe, Michigan. Her current practice location is 17120 Kercheval Ave, Grosse Pointe, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 886-3300.

Deirdre Tara Tracey is licensed to practice in Michigan (license number 4704303811) 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 1659918258.

Contact Information

Deirdre Tara Tracey,
17120 Kercheval Ave,
Grosse Pointe, MI 48230-1661
(313) 886-3300
Not Available

Map and Direction




Provider's Profile

Full NameDeirdre Tara Tracey
GenderFemale
SpecialityNurse Practitioner - Family
Location17120 Kercheval Ave, Grosse Pointe, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659918258
  • Provider Enumeration Date: 12/03/2019
  • Last Update Date: 03/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9133550353
  • Enrollment ID: I20200504000170

Medical Identifiers

Medical identifiers for Deirdre Tara Tracey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659918258NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704303811 (Michigan)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. Deirdre Tara Tracey allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848617
PECOS PAC ID: 9133123755
Enrollment ID: O20060912000584
Entity NameParagon Clinical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114139946
PECOS PAC ID: 7214034925
Enrollment ID: O20170329002290
Entity NameElite Healthcare Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215055082
PECOS PAC ID: 6204181175
Enrollment ID: O20180618000871

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. Deirdre Tara Tracey 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
Deirdre Tara Tracey,
17120 Kercheval Ave,
Grosse Pointe, MI 48230-1661

Ph: () -		Deirdre Tara Tracey,
17120 Kercheval Ave,
Grosse Pointe, MI 48230-1661

Ph: (313) 886-3300

Reviews and Comments


Nurse Practitioner Nurses in Grosse Pointe, MI

Ms. Rosanne Marie Skonieczny, RN NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230
Phone: 313-343-1605    Fax: 313-343-1934
Ms. Corie Peterson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16815 E Jefferson Ave Ste 120, Grosse Pointe, MI 48230
Phone: 586-498-4400    
Molly Czoykowski, F.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 17120 Kercheval Ave, Grosse Pointe, MI 48230
Phone: 313-886-3300    
Michele Gamel, DNP, RN, AGPCNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230
Phone: 810-305-1455    
Abbey Shay, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 17120 Kercheval Ave, Grosse Pointe, MI 48230
Phone: 866-389-2727    
Esther Malka Selik, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230
Phone: 313-473-1000    
Mrs. Christina Tharrett,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230
Phone: 313-473-1000    

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.