Mrs Tracey Black Respess, FNP is a medicare enrolled "Nurse Practitioner" in Chocowinity, North Carolina. She went to Brody School Of Medicine At East Carolina University and graduated in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vidant Medical Group Llc and her current practice location is
740 Bragaw Lane, Chocowinity, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 946-9562.
Mrs Tracey Black Respess is licensed to practice in North Carolina (license number 005002930) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548474463.
Provider's Profile
Full Name | Mrs Tracey Black Respess |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 18 Years |
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Location | 740 Bragaw Lane, Chocowinity, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Tracey Black Respess attended and graduated from Brody School Of Medicine At East Carolina University in 2006
NPI Data:
- NPI Number: 1548474463
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 12/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 0547356966
- Enrollment ID: I20071017000375
Medical Identifiers
Medical identifiers for Mrs Tracey Black Respess such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548474463 | NPI | - | NPPES |
005002930 | Other | NC | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 005002930 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Vidant Medical Group Llc | 0345343893 | 849 |
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 Tracey Black Respess allows following entities to bill medicare on her behalf.
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
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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 Tracey Black Respess 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 Tracey Black Respess, FNP 7684 Broad Creek Rd, Washington, NC 27889-7796 Ph: (252) 940-1502 | Mrs Tracey Black Respess, FNP 740 Bragaw Lane, Chocowinity, NC 27817 Ph: (252) 946-9562 |
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