| Tracy Bird, | |
|
248 Mchenry St, Burlington, WI 53105-1828 | |
| (262) 767-8094 | |
| Not Available |
| Full Name | Tracy Bird |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 248 Mchenry St, Burlington, Wisconsin |
| 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 |
|---|---|---|---|
| 1013454362 | NPI | - | NPPES |
| 100065330 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7549 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3716 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Bird, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Tracy Bird, 248 Mchenry St, Burlington, WI 53105-1828 Ph: (262) 767-8094 |
Katie Dolezal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 | |
Ms. Ann M Thompson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-971-9500 | |
Brian A Schroeder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 | |
Jennifer A Merker-horton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-767-6020 | |
Magdalena Anna Horn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 | |
Michele G Fojas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6000 Fax: 262-767-6545 |