Tracey L Small, APRN, PMHNP-BC in Enid, OK - Medicare Nurse Practitioner

Tracey L Small, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Enid, Oklahoma. Her current practice location is 231 S 30th St, Enid, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 372-2202.

Tracey L Small is licensed to practice in Oklahoma (license number 51535) 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 1780132449.

Contact Information

	Tracey L Small, APRN, PMHNP-BC
	231 S 30th St, Enid, OK 73701-6455
	(405) 372-2202
	(405) 445-3780

Map and Direction

Provider's Profile

Full Name	Tracey L Small
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	231 S 30th St, Enid, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780132449
Provider Enumeration Date: 09/12/2016
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 3678947504
Enrollment ID: I20230316000660

Medical Identifiers

Medical identifiers for Tracey L Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780132449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	51535 (Oklahoma)	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	51535 (Oklahoma)	Primary

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 L Small allows following entities to bill medicare on her behalf.

Entity Name	Great Salt Plains Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881876738 PECOS PAC ID: 9133201171 Enrollment ID: O20080811000366

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 L Small 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
Tracey L Small, APRN, PMHNP-BC 231 S 30th St, Enid, OK 73701-6455 Ph: (580) 233-2900	Tracey L Small, APRN, PMHNP-BC 231 S 30th St, Enid, OK 73701-6455 Ph: (405) 372-2202

Reviews and Comments

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Tracey L Small, APRN, PMHNP-BC - Medicare Nurse Practitioner in Enid, OK