Miss Tracie Ann Holbert, FNP is a medicare enrolled "Nurse Practitioner - Family" in Winchester, Illinois. Her current practice location is
231 W Cherry St, Winchester, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 742-3117.
Miss Tracie Ann Holbert is licensed to practice in Illinois (license number 209014645) 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 1639622285.
Provider's Profile
| Full Name | Miss Tracie Ann Holbert |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 231 W Cherry St, Winchester, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639622285
- Provider Enumeration Date: 08/01/2016
- Last Update Date: 06/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 8729374582
- Enrollment ID: I20160906001114
Medical Identifiers
Medical identifiers for Miss Tracie Ann Holbert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639622285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209014645 (Illinois) | 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. Miss Tracie Ann Holbert allows following entities to bill medicare on her behalf.
| Entity Name | Jersey Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
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| Entity Name | Thomas H Boyd Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811096811 PECOS PAC ID: 8123085560 Enrollment ID: O20041216000800 |
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| Entity Name | Hshs Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
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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. Miss Tracie Ann Holbert 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 Address | Practice Location Address |
Miss Tracie Ann Holbert, FNP 231 W Cherry St, Winchester, IL 62694-1027 Ph: (618) 920-0282 | Miss Tracie Ann Holbert, FNP 231 W Cherry St, Winchester, IL 62694-1027 Ph: (217) 742-3117 |
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