Tracey A Blum, is a medicare enrolled "Nurse Practitioner" in Mt Kisco, New York. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Optum Medical Care Pc and her current practice location is
110 S. Bedford Road, Caremount Medical Pc, Mt Kisco, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 241-1050.
Tracey A Blum is licensed to practice in New York (license number 307567) 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 1598205205.
Provider's Profile
| Full Name | Tracey A Blum |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 110 S. Bedford Road, Mt Kisco, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tracey A Blum graduated from nursing school in 2015
NPI Data:
- NPI Number: 1598205205
- Provider Enumeration Date: 02/28/2017
- Last Update Date: 02/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 2567748932
- Enrollment ID: I20170419001887
Medical Identifiers
Medical identifiers for Tracey A Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598205205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 307567 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Optum Medical Care Pc | 9931013240 | 997 |
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. Tracey A Blum allows following entities to bill medicare on her behalf.
| Entity Name | Optum Medical Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321 |
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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. Tracey A Blum 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 |
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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 |
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