| Tracy Casey, FNP | |
|
1600 Broadway Ave, Gladewater, TX 75647 | |
| (903) 315-5630 | |
| Not Available |
| Full Name | Tracy Casey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1600 Broadway Ave, Gladewater, Texas |
| 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 |
|---|---|---|---|
| 1093172785 | NPI | - | NPPES |
| P02106103 | Other | TX | MEDICARE RAIL ROAD |
| 709874 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP130082 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1246 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Casey, FNP Po Box 841656, Dallas, TX 75284-6098 Ph: (903) 324-6400 | Tracy Casey, FNP 1600 Broadway Ave, Gladewater, TX 75647 Ph: (903) 315-5630 |
Debra Sue Mahoney, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Broadway Ave, Gladewater, TX 75647 Phone: 903-315-5630 Fax: 903-845-6212 | |
Macy Santee, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 307 W Upshur Ave, Gladewater, TX 75647 Phone: 903-845-2159 Fax: 903-845-5451 | |
Cassandra Ford, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 W Upshur Ave, Gladewater, TX 75647 Phone: 903-845-2159 Fax: 903-845-5451 | |
Samantha Spiro Landry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Broadway Ave, Gladewater, TX 75647 Phone: 903-315-5630 | |
Heather M Wilson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9819 Union Grove Rd, Gladewater, TX 75647 Phone: 903-472-2359 | |
Kalana Sanders, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 W Upshur Ave, Gladewater, TX 75647 Phone: 903-845-2159 Fax: 903-845-5451 |