| Tracy A Proctor, CRNP | |
|
1050 Depot St, Youngwood, PA 15697-1360 | |
| (724) 635-0591 | |
| Not Available |
| Full Name | Tracy A Proctor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1050 Depot St, Youngwood, Pennsylvania |
| 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 |
|---|---|---|---|
| 1306489174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP020961 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thrive Counseling Llc | 0749458420 | 1010 |
| Stacey Renee Tesauro Inc. | 4880049782 | 4 |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069 |
| Entity Name | The Groves Psychological Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669051579 PECOS PAC ID: 1658774245 Enrollment ID: O20210720001787 |
| Entity Name | Stacey Renee Tesauro Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194425603 PECOS PAC ID: 4880049782 Enrollment ID: O20231012002893 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy A Proctor, CRNP 1050 Depot St, Youngwood, PA 15697-1360 Ph: (724) 635-0591 | Tracy A Proctor, CRNP 1050 Depot St, Youngwood, PA 15697-1360 Ph: (724) 635-0591 |
Erin Elizabeth Splendore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 N 4th St, Youngwood, PA 15697 Phone: 724-925-1211 Fax: 724-925-2931 | |
Heather Pavlinsky, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 322 Armbrust Rd Ste 102, Youngwood, PA 15697 Phone: 724-635-0147 |