| Miss Tracie Ann Holbert, FNP | |
|
800 School St, Carrollton, IL 62016-1436 | |
| (217) 942-6946 | |
| (217) 942-3785 |
| Full Name | Miss Tracie Ann Holbert |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 800 School St, Carrollton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639622285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209014645 (Illinois) | Primary |
| Entity Name | Jersey Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
| Entity Name | Thomas H Boyd Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811096811 PECOS PAC ID: 8123085560 Enrollment ID: O20041216000800 |
| Entity Name | Hshs Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Tracie Ann Holbert, FNP 800 School St, Carrollton, IL 62016-1436 Ph: (217) 942-6946 | Miss Tracie Ann Holbert, FNP 800 School St, Carrollton, IL 62016-1436 Ph: (217) 942-6946 |
Kyndal Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 School St, Carrollton, IL 62016 Phone: 217-942-6946 | |
Allison N Sagez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 523 S Main St, Carrollton, IL 62016 Phone: 217-942-3326 Fax: 217-942-9833 | |
Keli Stewart, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 School St, Carrollton, IL 62016 Phone: 217-942-6946 |