Ms Tracy Marie Smith, PA-C in Philadelphia, PA - Medicare Physician Assistant

Ms Tracy Marie Smith, PA-C is a medicare enrolled "Physician Assistant - Medical" in Philadelphia, Pennsylvania. Her current practice location is 4190 City Ave, Suite 528, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (866) 453-8800.

Ms Tracy Marie Smith is licensed to practice in Pennsylvania (license number MA054091) 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 1609109024.

Contact Information

	Ms Tracy Marie Smith, PA-C
	4190 City Ave, Suite 528, Philadelphia, PA 19131-1626
	(866) 453-8800
	(844) 734-7689

Map and Direction

Provider's Profile

Full Name	Ms Tracy Marie Smith
Gender	Female
Speciality	Physician Assistant - Medical
Location	4190 City Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609109024
Provider Enumeration Date: 09/16/2009
Last Update Date: 09/14/2015

Medicare PECOS Information:

PECOS PAC ID: 5890835581
Enrollment ID: I20091210000121

Medical Identifiers

Medical identifiers for Ms Tracy Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609109024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	MA054091 (Pennsylvania)	Primary
363AM0700X	Physician Assistant - Medical	PA21436 (California)	Secondary

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 Marie Smith 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 Marie Smith, PA-C 260 Calle Campesino, San Clemente, CA 92672-4553 Ph: (949) 366-1053	Ms Tracy Marie Smith, PA-C 4190 City Ave, Suite 528, Philadelphia, PA 19131-1626 Ph: (866) 453-8800

Reviews and Comments

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Ms Tracy Marie Smith, PA-C - Medicare Physician Assistant in Philadelphia, PA