Mrs Tracy Lee Waggoner, MPT is a medicare enrolled "Physical Therapist" provider in Hutsonville, Illinois. She graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Empowerme Rehabilitation Illinois Llc and her current practice location is
609 N Pleasant St, Hutsonville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 563-9395.
Mrs Tracy Lee Waggoner is licensed to practice in Illinois (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487856548.
Healthcare Provider's Profile
| Full Name | Mrs Tracy Lee Waggoner |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 29 Years |
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| Location | 609 N Pleasant St, Hutsonville, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Tracy Lee Waggoner graduated from medical school in 1996
NPI Data:
- NPI Number: 1487856548
- Provider Enumeration Date: 06/01/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9830421528
- Enrollment ID: I20191030000647
Medical Identifiers
Medical identifiers for Mrs Tracy Lee Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487856548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Empowerme Rehabilitation Illinois Llc | 2365718277 | 334 |
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. Mrs Tracy Lee Waggoner allows following entities to bill medicare on her behalf.
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494 |
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| Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
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| Provider Name | Empowerme Rehabilitation Illinois Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
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| Provider Name | Empowerme Wellness Kansas City Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
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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. Mrs Tracy Lee Waggoner 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 |
Mrs Tracy Lee Waggoner, MPT 1000 N Allen St, Robinson, IL 62454-1167 Ph: (618) 546-2695 | Mrs Tracy Lee Waggoner, MPT 609 N Pleasant St, Hutsonville, IL 62433-1119 Ph: (618) 563-9395 |
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