| Tracy Elizabeth Carroll, | |
| 
					1710 Harrison St, Batesville, AR 72501-7303  | |
| (870) 262-1200 | |
| (870) 262-6966 | 
| Full Name | Tracy Elizabeth Carroll | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1710 Harrison St, Batesville, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871122457 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11013899 (Florida) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 124240 (Arkansas) | Primary | 
| Entity Name | Lee County Cooperative Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669480836 PECOS PAC ID: 8921917204 Enrollment ID: O20081213000190  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tracy Elizabeth Carroll, 71 Mary Esther Blvd, Mary Esther, FL 32569-1967 Ph: (850) 301-0677  | Tracy Elizabeth Carroll, 1710 Harrison St, Batesville, AR 72501-7303 Ph: (870) 262-1200  | 
Mr. Leroy Maupin Jr., APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 Virginia Dr, Batesville, AR 72501 Phone: 870-793-4200 Fax: 870-698-1353  | |
Angela Burleson, MS, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Sidney St Ste 202, Batesville, AR 72501 Phone: 870-262-2000  | |
Rachel Jeannette Johnson,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 905 20th St Ste B, Batesville, AR 72501 Phone: 870-569-4942 Fax: 870-569-4943  | |
Mrs. Michelle Lee Hagen, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1710 Harrison St, Batesville, AR 72501 Phone: 870-262-1200 Fax: 870-262-6199  | |
Ms. Lori Ann Steele, CNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Vine St, Batesville, AR 72501 Phone: 870-793-4600 Fax: 870-793-4608  | |
Cynthia Elaine Jackson, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3443 Harrison St, Batesville, AR 72501 Phone: 870-698-1635 Fax: 870-612-3389  | |
Brandy M Moore, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 Virginia Dr, Batesville, AR 72501 Phone: 870-793-4300  |