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 |
Experience | 16 Years |
Location | 1615 Michigan Ave, Baldwin, Michigan |
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 |
---|---|---|---|
1578713798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704177334 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Urgent Care | 0840603155 | 10 |
Iha Health Services Corporation | 2466351440 | 911 |
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. Pamela Sue Alley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 Washington Ave, Vision Of Health, Baldwin, MI 49304 Phone: 231-832-3930 Fax: 231-882-2456 | |
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: Medicare Enrolled 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: Medicare Enrolled Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-5031 |