Dr Tracie E Clisby, - Medicare Nurse Practitioner in Chicago, IL

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Dr Tracie E Clisby, is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. 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 University Of Chicago and her current practice location is 5841 S Maryland Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 824-0200.

Dr Tracie E Clisby is licensed to practice in Illinois (license number 277.002085) 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 1942574769.

Contact Information

Dr Tracie E Clisby,
5841 S Maryland Ave,
Chicago, IL 60637-1443
(888) 824-0200
Not Available

Map and Direction




Provider's Profile

Full NameDr Tracie E Clisby
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location5841 S Maryland Ave, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tracie E Clisby graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1942574769
  • Provider Enumeration Date: 02/24/2012
  • Last Update Date: 03/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173779303
  • Enrollment ID: I20120803000415

Medical Identifiers

Medical identifiers for Dr Tracie E Clisby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942574769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 277002085 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 277.002085 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The University Of Chicago Medical CenterChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Chicago77198994261674

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. Dr Tracie E Clisby allows following entities to bill medicare on her behalf.
Entity NameUniversity of Chicago
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821048786
PECOS PAC ID: 7719899426
Enrollment ID: O20031103000094
Entity NameAdvocate Health and Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameThe Board of Trustees of the University of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158
Entity NameThe University of Chicago Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033218128
PECOS PAC ID: 7618880766
Enrollment ID: O20031113000198
Entity NameRush University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228
Entity NameMinuteclinic Diagnostic of Illinois PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356485809
PECOS PAC ID: 8729171566
Enrollment ID: O20070910000607
Entity NameCermak Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518498393
PECOS PAC ID: 7113269242
Enrollment ID: O20190422000151

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. Dr Tracie E Clisby 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 AddressPractice Location Address
Dr Tracie E Clisby,
Po Box 5367,
Chicago, IL 60680-5367

Ph: (773) 340-1307		Dr Tracie E Clisby,
5841 S Maryland Ave,
Chicago, IL 60637-1443

Ph: (888) 824-0200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.