| Tracy S Ervin, | |
|
580 W 8th St, Box T-11, Jacksonville, FL 32209-6533 | |
| (904) 244-3990 | |
| Not Available |
| Full Name | Tracy S Ervin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 580 W 8th St, Jacksonville, Florida |
| 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 |
|---|---|---|---|
| 1508286212 | NPI | - | NPPES |
| 014760900 | Medicaid | FL | |
| 012180900 | Medicaid | FL | |
| 003151484A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP9328203 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Famh For All Mental Health Psychiatric Telemedicine, Llc | 1052764628 | 2 |
| Entity Name | Famh for All Mental Health Psychiatric Telemedicine, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689393100 PECOS PAC ID: 1052764628 Enrollment ID: O20240130003746 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy S Ervin, 388 Sw 62nd Blvd Apt 7, Gainesville, FL 32607-2050 Ph: (740) 334-7385 | Tracy S Ervin, 580 W 8th St, Box T-11, Jacksonville, FL 32209-6533 Ph: (904) 244-3990 |
Ms. Clare Denise Benjamin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223 Phone: 904-910-9060 |
Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844 |
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395 |
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832 |
Danielle Harper Pritchard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080 |