Tracey Goldman, is a
Nurse Practitioner - Family based in Yazoo, Mississippi. Tracey Goldman is licensed to practice in Mississippi (license number 901381) and her current practice location is
2225 Haley Barbour Parkway, Yazoo, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 260-6330.
NPI number for Tracey Goldman is 1336688050 and her current mailing address is 2125 Scanlon Drive, Jackson, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336688050.
Provider's Profile
| Full Name | Tracey Goldman |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 2225 Haley Barbour Parkway, Yazoo, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336688050
- Provider Enumeration Date: 02/14/2017
- Last Update Date: 01/11/2019
Medical Identifiers
Medical identifiers for Tracey Goldman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336688050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 901381 (Mississippi) | 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. Tracey Goldman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tracey Goldman,
2125 Scanlon Drive,
Jackson, MS 39204
Ph: () - | Tracey Goldman,
2225 Haley Barbour Parkway,
Yazoo, MS 39204
Ph: (601) 260-6330 |
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