Mrs Tracy Renee Pilgrim, APN is a medicare enrolled "Nurse Practitioner" in Marked Tree, Arkansas. She graduated from nursing school in 1993 and has 33 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Arkansas Department Of Health Payroll Office and her current practice location is
105 Nathan St, Marked Tree, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 358-2036.
Mrs Tracy Renee Pilgrim is licensed to practice in Arkansas (license number A01248) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1033394804.
Provider's Profile
| Full Name | Mrs Tracy Renee Pilgrim |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 33 Years |
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| Location | 105 Nathan St, Marked Tree, Arkansas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Tracy Renee Pilgrim graduated from nursing school in 1993
NPI Data:
- NPI Number: 1033394804
- Provider Enumeration Date: 12/29/2007
- Last Update Date: 03/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 8921150848
- Enrollment ID: I20110207000627
Medical Identifiers
Medical identifiers for Mrs Tracy Renee Pilgrim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033394804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | A01248 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Arkansas Department Of Health Payroll Office | 5799696779 | 29 |
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 Tracy Renee Pilgrim 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 Tracy Renee Pilgrim, APN
49 Highway 62 412,
Ash Flat, AR 72513-9594
Ph: (870) 358-2036 | Mrs Tracy Renee Pilgrim, APN
105 Nathan St,
Marked Tree, AR 72365
Ph: (870) 358-2036 |
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