| Tracey Renee Mattio, FNP | |
|
159 E 3rd St, Edgard, LA 70049-2450 | |
| (985) 497-8726 | |
| (985) 497-3108 |
| Full Name | Tracey Renee Mattio |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 159 E 3rd St, Edgard, Louisiana |
| 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 |
|---|---|---|---|
| 1588949341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP06635 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center New Orleans | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Louisiana State University School Of Medicine In New Orleans Faculty | 9638459613 | 38 |
| Entity Name | Administrators Of The Tulane Educational Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
| Entity Name | Foucher Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871879007 PECOS PAC ID: 8729254073 Enrollment ID: O20120109000197 |
| Entity Name | Minuteclinic Diagnostic Of Louisiana, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285975482 PECOS PAC ID: 7618106477 Enrollment ID: O20140128000722 |
| Entity Name | Belle Chasse Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851714075 PECOS PAC ID: 7113140070 Enrollment ID: O20140521001580 |
| Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275984973 PECOS PAC ID: 9638459613 Enrollment ID: O20161208001617 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Renee Mattio, FNP 1115 Weber St, Franklin, LA 70538-4124 Ph: (337) 828-2550 | Tracey Renee Mattio, FNP 159 E 3rd St, Edgard, LA 70049-2450 Ph: (985) 497-8726 |
Sherry A Aucoin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2555 Highway 18, Edgard, LA 70049 Phone: 985-267-1093 |