| Tracie Jo Henline, NP | |
|
75 Buschlen Rd, Bad Axe, MI 48413 | |
| (989) 623-9300 | |
| (989) 269-0243 |
| Full Name | Tracie Jo Henline |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 75 Buschlen Rd, Bad Axe, Michigan |
| 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 |
|---|---|---|---|
| 1053956532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704269229 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scheurer Hospital | Pigeon, MI | Hospital |
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Hills & Dales General Hospital | Cass city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scheurer Hospital | 1456242296 | 40 |
| Rau Physical Therapy Inc | 2365721339 | 55 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | Mclaren Thumb Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245257880 PECOS PAC ID: 6800709221 Enrollment ID: O20040302000921 |
| Entity Name | Scheurer Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104016849 PECOS PAC ID: 1456242296 Enrollment ID: O20040827000155 |
| Entity Name | Degara App Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Jo Henline, NP 176 Berne Rd, Bad Axe, MI 48413-9034 Ph: () - | Tracie Jo Henline, NP 75 Buschlen Rd, Bad Axe, MI 48413 Ph: (989) 623-9300 |
Jennifer Anne Webb, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 Sullivan Rd, Bad Axe, MI 48413 Phone: 989-975-6084 | |
Beth A Britt, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-269-7504 Fax: 989-269-7517 | |
Rochelle Raymond, DNP, RN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 Fax: 989-269-9754 | |
Erika Faber, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 Buschlen Rd, Bad Axe, MI 48413 Phone: 989-623-9300 | |
Shannon London Nowiski, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1060 S Van Dyke, Suite 300, Bad Axe, MI 48413 Phone: 989-269-7606 Fax: 989-269-7933 | |
Mrs. Carrie Lynn Langley, F.N.P. BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1142 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-269-7445 Fax: 989-269-7490 |