Tracey Lynn Hamor, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Elmwood, Nebraska. Her current practice location is
140 N 4th St, Elmwood, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 840-9896.
Tracey Lynn Hamor is licensed to practice in Nebraska (license number 112459) 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 1215434683.
Provider's Profile
| Full Name | Tracey Lynn Hamor |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 140 N 4th St, Elmwood, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215434683
- Provider Enumeration Date: 04/11/2018
- Last Update Date: 12/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931457421
- Enrollment ID: I20180731001281
Medical Identifiers
Medical identifiers for Tracey Lynn Hamor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215434683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G160945 (Iowa) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 112459 (Nebraska) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 112459 (Nebraska) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 Lynn Hamor allows following entities to bill medicare on her behalf.
| Entity Name | Mid-plains Center For Behavioral Healthcare Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558303743
PECOS PAC ID: 3375595853
Enrollment ID: O20050211000893 |
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| Entity Name | Tracey L Hamor Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245841048
PECOS PAC ID: 1254744089
Enrollment ID: O20210115000108 |
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| Entity Name | Brightside Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073072658
PECOS PAC ID: 9234525098
Enrollment ID: O20230918000693 |
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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 Lynn Hamor 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 Lynn Hamor,
140 N. 4th Street, Po Box 208,
Elmwood, NE 68349-6027
Ph: (402) 840-9896 | Tracey Lynn Hamor,
140 N 4th St,
Elmwood, NE 68349-2269
Ph: (402) 840-9896 |
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