Tracy Leach, NNP-BC in Longview, TX - Medicare Nurse Practitioner

Tracy Leach, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal" in Longview, Texas. Her current practice location is 707 Hollybrook Dr, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 757-6042.

Tracy Leach is licensed to practice in Texas (license number AP124269) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144662032.

Contact Information

	Tracy Leach, NNP-BC
	707 Hollybrook Dr, Longview, TX 75605-2410
	(903) 757-6042
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracy Leach
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	707 Hollybrook Dr, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144662032
Provider Enumeration Date: 07/22/2013
Last Update Date: 10/20/2025

Medicare PECOS Information:

PECOS PAC ID: 6800026436
Enrollment ID: I20140227001628

Medical Identifiers

Medical identifiers for Tracy Leach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144662032	NPI	-	NPPES
325841004	Medicaid	TX
75-2616977-042	Other	TX	TRICARE
P01813068	Other	TX	RAIL ROAD MEDICARE
8401MC	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	AP124269 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tracy Leach allows following entities to bill medicare on her behalf.

Entity Name	Christus Good Shepherd Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760908404 PECOS PAC ID: 3779565544 Enrollment ID: O20040604000400

Entity Name	Lion Star Nacogdoches Hospital, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316616550 PECOS PAC ID: 3971992082 Enrollment ID: O20211207001844

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 Leach is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tracy Leach, NNP-BC 707 Hollybrook Dr, Longview, TX 75605-2410 Ph: () -	Tracy Leach, NNP-BC 707 Hollybrook Dr, Longview, TX 75605-2410 Ph: (903) 757-6042

Reviews and Comments

Nurse Practitioner Nurses in Longview, TX

Sarah Faye Earnest, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 N 4th St, Longview, TX 75601 Phone: 903-234-8808 Fax: 903-234-9769
Christina Lea Croley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave Ste 200, Longview, TX 75601 Phone: 903-236-2222
Dorothy Mckenzie Womack, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Mary Mckenzie, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 W Loop 281, Longview, TX 75604 Phone: 903-295-1396
Ms. Erica O Salami, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 E Marshall Ave Ste 1002, Longview, TX 75601 Phone: 903-315-2032 Fax: 903-315-2719
Jennifer Borrego, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656
Christy Anne Cobb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-291-6223 Fax: 903-291-6222

Tracy Leach, NNP-BC - Medicare Nurse Practitioner in Longview, TX