| Tracy Elizabeth Carroll, | |
|
60 Greers Ferry Rd, Drasco, AR 72530-9130 | |
| (870) 262-1200 | |
| (870) 262-6966 |
| Full Name | Tracy Elizabeth Carroll |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 60 Greers Ferry Rd, Drasco, Arkansas |
| 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 |
|---|---|---|---|
| 1871122457 | NPI | - | NPPES |
| 346415758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 124240 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| White River Health System, Inc. | 0143134270 | 164 |
| 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, 1710 Harrison St, Batesville, AR 72501-7303 Ph: (870) 262-1200 | Tracy Elizabeth Carroll, 60 Greers Ferry Rd, Drasco, AR 72530-9130 Ph: (870) 262-1200 |
Kayla Krystyna Crawford, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Greers Ferry Rd, Drasco, AR 72530 Phone: 870-668-3200 | |
Jennifer Tosh, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Greers Ferry Rd, Drasco, AR 72530 Phone: 870-668-3200 Fax: 870-668-3634 | |
Ms. Brenda G Dickinson, ADVANCED NURSE PRACT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 60 Greers Ferry Rd., Drasco, AR 72530 Phone: 870-668-3200 Fax: 870-668-3634 |