| Tracie Young, NP | |
|
1136 Kincaid Bridge Rd Ste A, Winnsboro, SC 29180-7116 | |
| (803) 635-1052 | |
| (803) 712-9724 |
| Full Name | Tracie Young |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1136 Kincaid Bridge Rd Ste A, Winnsboro, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306376199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20610 (South Carolina) | Primary |
| Entity Name | Eau Claire Cooperative Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Young, NP 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 Ph: (180) 390-99751 | Tracie Young, NP 1136 Kincaid Bridge Rd Ste A, Winnsboro, SC 29180-7116 Ph: (803) 635-1052 |
Aimee G Newsom, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 880 W Moultrie St, Suite 200, Winnsboro, SC 29180 Phone: 803-635-6461 Fax: 803-635-4200 | |
Tamika Bryson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1136 Kincaid Bridge Rd, Ste. A, Winnsboro, SC 29180 Phone: 803-635-1052 Fax: 803-217-9724 | |
Kayleigh M Rushford, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 56 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-6099 | |
Rebecca Rowell Munger, DNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 880 W Moultrie St Ste 200, Winnsboro, SC 29180 Phone: 803-635-6461 | |
Jacob Winton Shaw, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 W Liberty St, Winnsboro, SC 29180 Phone: 803-635-2414 | |
Ashley Sirianni, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 880 W Moultrie St Ste 200, Winnsboro, SC 29180 Phone: 803-635-6461 Fax: 803-635-4200 |