| Mary Tracey, | |
|
52 Village Dr, Pagosa Springs, CO 81147-8368 | |
| (970) 264-2104 | |
| (970) 264-2108 |
| Full Name | Mary Tracey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 52 Village Dr, Pagosa Springs, Colorado |
| 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 |
|---|---|---|---|
| 1134515984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN.0993060-NP (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Luis Valley Community Mental Health Center | 0345267779 | 24 |
| Entity Name | San Luis Valley Community Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063406999 PECOS PAC ID: 0345267779 Enrollment ID: O20051025001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Tracey, 8745 County Road 9 S, Alamosa, CO 81101-9610 Ph: () - | Mary Tracey, 52 Village Dr, Pagosa Springs, CO 81147-8368 Ph: (970) 264-2104 |
Rosana A Warren, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8622 County Road 500, Pagosa Springs, CO 81147 Phone: 970-585-4619 | |
Kaitlin Dolores Wert, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27b Talisman Dr Unit 3, Pagosa Springs, CO 81147 Phone: 970-372-0456 | |
Mrs. Tabitha Zappone, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27 B. Talisman Dr. #3, Pagosa Springs, CO 81147 Phone: 970-731-5252 Fax: 970-731-9922 | |
Calvin Edgar Newsome Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Eaton Dr Ste 1, Pagosa Springs, CO 81147 Phone: 970-880-0951 Fax: 970-507-6016 | |
Sara Perkins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27b Talisman Dr Unit 3, Pagosa Springs, CO 81147 Phone: 970-372-0456 | |
Mrs. Shelby Marie Aragon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-3700 |