| Tracy Lynne Moody, FNP-BC | |
|
1615 Michigan Ave, Baldwin, MI 49304 | |
| (231) 745-4624 | |
| Not Available |
| Full Name | Tracy Lynne Moody |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1615 Michigan Ave, Baldwin, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578713798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704177334 (Michigan) | Primary |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Entity Name | Mercy Health Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396331328 PECOS PAC ID: 0840603155 Enrollment ID: O20210105003318 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Lynne Moody, FNP-BC 2249 Wealthy St Se, Ste 202, Grand Rapids, MI 49506-3052 Ph: (248) 952-1601 | Tracy Lynne Moody, FNP-BC 1615 Michigan Ave, Baldwin, MI 49304 Ph: (231) 745-4624 |
Mrs. Anna Jacqueline Cvetich, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-4928 | |
Mrs. Lisa Joan West, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-4928 | |
Samantha N Lopez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-4928 | |
Miss Susan Marie Koger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-5031 | |
Cynthia Lucille Sherwood, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-5031 |