Mrs Maureen G Tracchia, CNM is a medicare enrolled "Advanced Practice Midwife" in Kennesaw, Georgia. Her current practice location is
750 Town Park Lane, Kaiser Permanente Comprehensive Medical Center, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 250-1350.
Mrs Maureen G Tracchia is licensed to practice in Georgia (license number RN208829) 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 1912250770.
Provider's Profile
Full Name | Mrs Maureen G Tracchia |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 750 Town Park Lane, Kennesaw, Georgia |
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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: 1912250770
- Provider Enumeration Date: 10/18/2012
- Last Update Date: 10/01/2015
Medicare PECOS Information:
- PECOS PAC ID: 7618282898
- Enrollment ID: I20150817002905
Medical Identifiers
Medical identifiers for Mrs Maureen G Tracchia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912250770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | RN208829 (Georgia) | 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. Mrs Maureen G Tracchia allows following entities to bill medicare on her behalf.
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
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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. Mrs Maureen G Tracchia 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 |
Mrs Maureen G Tracchia, CNM 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070 | Mrs Maureen G Tracchia, CNM 750 Town Park Lane, Kaiser Permanente Comprehensive Medical Center, Kennesaw, GA 30144 Ph: (404) 250-1350 |
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