Tracy Jane Dodgen I, is a
Registered Nurse - Psychiatric/mental Health based in Parkland, Washington. Tracy Jane Dodgen I is licensed to practice in Washington (license number 61404087) and her current practice location is
14016 A St S, Parkland, Washington. She can be reached at her office (for appointments etc.) via phone at
(949) 395-8584.
NPI number for Tracy Jane Dodgen I is 1578261038 and her current mailing address is 14016 A St S, Parkland, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578261038.
Provider's Profile
Full Name | Tracy Jane Dodgen I |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health |
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Location | 14016 A St S, Parkland, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578261038
- Provider Enumeration Date: 02/22/2023
- Last Update Date: 02/22/2023
Medical Identifiers
Medical identifiers for Tracy Jane Dodgen I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578261038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 61404087 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Jane Dodgen I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tracy Jane Dodgen I, 14016 A St S, Parkland, WA 98444-4662 Ph: () - | Tracy Jane Dodgen I, 14016 A St S, Parkland, WA 98444-4662 Ph: (949) 395-8584 |
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