Ms Tracy Basham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Athens, West Virginia. Her current practice location is
401 E Vermillion St, Athens, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 384-7325.
Ms Tracy Basham is licensed to practice in West Virginia (license number 49397NP) 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 1841734688.
Provider's Profile
| Full Name | Ms Tracy Basham |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 401 E Vermillion St, Athens, West Virginia |
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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: 1841734688
- Provider Enumeration Date: 12/13/2016
- Last Update Date: 04/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 5799060562
- Enrollment ID: I20170316002143
Medical Identifiers
Medical identifiers for Ms Tracy Basham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841734688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 49397NP (West Virginia) | Primary |
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 Basham 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 |
Ms Tracy Basham, FNP 118 12th Street Ext, Princeton, WV 24740-2352 Ph: (304) 431-5168 | Ms Tracy Basham, FNP 401 E Vermillion St, Athens, WV 24712-8005 Ph: (304) 384-7325 |
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