| Deirdre Tara Tracey, | |
|
17120 Kercheval Ave, Grosse Pointe, MI 48230-1661 | |
| (313) 886-3300 | |
| Not Available |
| Full Name | Deirdre Tara Tracey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 17120 Kercheval Ave, Grosse Pointe, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659918258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704303811 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Residential Home Health | Troy, MI | Home health agency |
| Residential Home Health And Hospice | Lapeer, MI | Home health agency |
| A Choice Home Health Care, Inc. | Troy, MI | Home health agency |
| Carebridge Home Health | Canton, MI | Home health agency |
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Extended Care Services Pc | 9133029127 | 29 |
| Transitional Care Services Llc | 6709165954 | 45 |
| Entity Name | Minuteclinic Diagnostic of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848617 PECOS PAC ID: 9133123755 Enrollment ID: O20060912000584 |
| Entity Name | Transitional Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174976807 PECOS PAC ID: 6709165954 Enrollment ID: O20161111000718 |
| Entity Name | Paragon Clinical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114139946 PECOS PAC ID: 7214034925 Enrollment ID: O20170329002290 |
| Entity Name | Total Extended Care Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699522029 PECOS PAC ID: 9133029127 Enrollment ID: O20240712000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Deirdre Tara Tracey, 17120 Kercheval Ave, Grosse Pointe, MI 48230-1661 Ph: Not Available | Deirdre Tara Tracey, 17120 Kercheval Ave, Grosse Pointe, MI 48230-1661 Ph: (313) 886-3300 |
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: Medicare Enrolled Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 810-305-1455 |
Abbey Shay, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17120 Kercheval Ave, Grosse Pointe, MI 48230 Phone: 866-389-2727 |
Esther Malka Selik, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 |
Mrs. Christina Tharrett, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 |