| Tracey Michelle Foreman, FNP | |
|
5482 Highway 15 N, Ecru, MS 38841-8471 | |
| (662) 488-8799 | |
| Not Available |
| Full Name | Tracey Michelle Foreman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 5482 Highway 15 N, Ecru, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083386643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R879104 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 904964 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Friendship Medical Clinic Llc | 0648275024 | 8 |
| Entity Name | Friendship Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586273 PECOS PAC ID: 0648275024 Enrollment ID: O20060918000250 |
| Entity Name | Progressive Medical Management Of Batesville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700349222 PECOS PAC ID: 0345583225 Enrollment ID: O20191114002265 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Michelle Foreman, FNP 5482 Highway 15 N, Ecru, MS 38841-8471 Ph: (662) 488-8799 | Tracey Michelle Foreman, FNP 5482 Highway 15 N, Ecru, MS 38841-8471 Ph: (662) 488-8799 |
Allison Miller Bailey, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7618 Hwy 15 North, Ecru, MS 38841 Phone: 662-489-6522 Fax: 662-234-4749 | |
Dalyn Reynolds, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 392 Main St, Ecru, MS 38841 Phone: 662-573-4800 | |
Sabrina Davidson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Highway 15 N, Ecru, MS 38841 Phone: 662-488-8799 Fax: 662-488-8729 | |
Megan Springer Howell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799 | |
Jennifer Chism Bolen, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799 | |
Paige Sparks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799 |