Ms Tracy Stichert, APRN is a medicare enrolled "Nurse Practitioner - Family" in Blackville, South Carolina. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Low Country Health Care System Inc and her current practice location is
130 Baker St N, Blackville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 284-1045.
Ms Tracy Stichert is licensed to practice in South Carolina (license number 23497) 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 1063032316.
Provider's Profile
| Full Name | Ms Tracy Stichert |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 130 Baker St N, Blackville, South 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. |
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Medical Education and Training:
- Ms Tracy Stichert graduated from nursing school in 2019
NPI Data:
- NPI Number: 1063032316
- Provider Enumeration Date: 04/16/2020
- Last Update Date: 07/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 2062818321
- Enrollment ID: I20240610000073
Medical Identifiers
Medical identifiers for Ms Tracy Stichert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063032316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 23497 (South Carolina) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 0101760 (Colorado) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Low Country Health Care System Inc | 4284530940 | 33 |
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. Ms Tracy Stichert allows following entities to bill medicare on her behalf.
| Entity Name | Southern Colorado Clinic PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285613554
PECOS PAC ID: 4284524067
Enrollment ID: O20040316001277 |
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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. Ms Tracy Stichert 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 |
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Ms Tracy Stichert, APRN
86 Wren St,
Barnwell, SC 29812-1529
Ph: (803) 259-5762 | Ms Tracy Stichert, APRN
130 Baker St N,
Blackville, SC 29817-2426
Ph: (803) 284-1045 |
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