| Tracye Fowler, FNP | |
|
570 S 8th Ave, Elgin, OR 97827-9726 | |
| (541) 437-2273 | |
| (541) 437-8585 |
| Full Name | Tracye Fowler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 570 S 8th Ave, Elgin, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073995999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 89619 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201804011NP-PP (Oregon) | Primary |
| Entity Name | Emergency Physicians Of Midwest City Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558386474 PECOS PAC ID: 7911960844 Enrollment ID: O20041110001156 |
| Entity Name | Mercy Hospital Healdton Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568615656 PECOS PAC ID: 3375610447 Enrollment ID: O20090205000358 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
| Entity Name | Virtual Medical Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801538467 PECOS PAC ID: 8123495983 Enrollment ID: O20221108000637 |
| Entity Name | Ehp Of Ponca City Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881419802 PECOS PAC ID: 1850828948 Enrollment ID: O20241231003713 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracye Fowler, FNP Po Box 3290, La Grande, OR 97850-7290 Ph: (541) 963-1967 | Tracye Fowler, FNP 570 S 8th Ave, Elgin, OR 97827-9726 Ph: (541) 437-2273 |
Jamie Jo Haddock, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 570 S 8th Ave, Elgin, OR 97827 Phone: 541-437-2273 Fax: 541-437-8585 | |
Tempie Bartell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 Albany, Elgin, OR 97827 Phone: 541-437-0239 Fax: 541-437-5029 |