Tracy Marie Blackstock, in Cleveland, MS - Medicare Physical Therapist Provider

Tracy Marie Blackstock, is a medicare enrolled "Physical Therapist" provider in Cleveland, Mississippi. Her current practice location is 404 Classco Pl, Cleveland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 843-3575.

Tracy Marie Blackstock is licensed to practice in Mississippi (license number PT2182) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932256641.

Contact Information

	Tracy Marie Blackstock,
	404 Classco Pl, Cleveland, MS 38732-3000
	(662) 843-3575
	(662) 846-1397

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Marie Blackstock
Gender	Female
Speciality	Physical Therapist
Location	404 Classco Pl, Cleveland, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932256641
Provider Enumeration Date: 01/04/2007
Last Update Date: 12/30/2024

Medicare PECOS Information:

PECOS PAC ID: 5395815187
Enrollment ID: I20080605000431

Medical Identifiers

Medical identifiers for Tracy Marie Blackstock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932256641	NPI	-	NPPES
03451326	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT2182 (Mississippi)	Primary

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. Tracy Marie Blackstock allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehab Agency Ms Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336839000 PECOS PAC ID: 2769841782 Enrollment ID: O20230707002981

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. Tracy Marie Blackstock 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
Tracy Marie Blackstock, 404 Classco Pl, Cleveland, MS 38732-3000 Ph: (662) 843-3575	Tracy Marie Blackstock, 404 Classco Pl, Cleveland, MS 38732-3000 Ph: (662) 843-3575

Reviews and Comments

Physical Therapist in Cleveland, MS

Anna Lauren Reed, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1321 W Highway 8 Ste 4, Cleveland, MS 38732 Phone: 662-410-1440 Fax: 662-410-1442
Mr. Clarence Anthony Holmes Sr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 506 3rd St, Cleveland, MS 38732 Phone: 662-843-0076 Fax: 662-846-7730
Mrs. Mari Jane Bosworth, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 712 N Chrisman Ave, Sutie C, Cleveland, MS 38732 Phone: 662-843-3004 Fax: 662-843-0820
Joshua D Haynes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 N Martin Luther King Dr, Cleveland, MS 38732 Phone: 662-843-5347 Fax: 662-843-0751
David M Crowe, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 810 E Sunflower Rd, Suite 150, Cleveland, MS 38732 Phone: 662-843-4990 Fax: 662-843-4954
Elizabeth Rustom, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4036 Highway 8, Cleveland, MS 38732 Phone: 662-843-4014
Mrs. Kristen Harmon Crow, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 513 Robinson Dr, Cleveland, MS 38732 Phone: 662-207-3849 Fax: 662-207-3849

Tracy Marie Blackstock, - Medicare Physical Therapist in Cleveland, MS