Tracey Marie Dixon, is a medicare enrolled "Internal Medicine - Gastroenterology" in Hazle Township, Pennsylvania. Her current practice location is
10 Park Pl, Hazle Township, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 454-1400.
Tracey Marie Dixon is licensed to practice in Pennsylvania (license number SP020197) 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 1538726179.
Provider's Profile
| Full Name | Tracey Marie Dixon |
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| Gender | Female |
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| Speciality | Internal Medicine - Gastroenterology |
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| Location | 10 Park Pl, Hazle Township, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538726179
- Provider Enumeration Date: 05/20/2019
- Last Update Date: 08/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547593303
- Enrollment ID: I20190610002210
Medical Identifiers
Medical identifiers for Tracey Marie Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538726179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LG0600X | Nurse Practitioner - Gerontology | SP020197 (Pennsylvania) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | SP020197 (Pennsylvania) | 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 Marie Dixon allows following entities to bill medicare on her behalf.
| Entity Name | Advanced Inpatient Medicine Transitional Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609247030 PECOS PAC ID: 2365742079 Enrollment ID: O20151202002396 |
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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 Marie Dixon 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 Marie Dixon, 225 Stryjak Rd, Mountain Top, PA 18707-9381 Ph: (570) 709-1953 | Tracey Marie Dixon, 10 Park Pl, Hazle Township, PA 18202-2885 Ph: (570) 454-1400 |
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