| Tracey A Blum, | |
|
110 S. Bedford Road, Caremount Medical Pc, Mt Kisco, NY 10549 | |
| (914) 241-1050 | |
| (914) 242-1516 |
| Full Name | Tracey A Blum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 110 S. Bedford Road, Mt Kisco, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598205205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 307567 (New York) | Primary |
| Entity Name | Optum Medical Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey A Blum, 1978 Crompond Road, Caremount Medical Pc, Cortlandt Manor, NY 10567 Ph: (914) 739-2121 | Tracey A Blum, 110 S. Bedford Road, Caremount Medical Pc, Mt Kisco, NY 10549 Ph: (914) 241-1050 |
Carlyn E Earle-murray, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 East Main St, Northern Westchester Hospital, Mt Kisco, NY 10549 Phone: 914-666-1200 Fax: 914-666-1517 |
Joann Benn, RN, MS, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E. Main Street, Cancer Center, Mt Kisco, NY 10549 Phone: 914-241-1050 Fax: 914-242-1516 |