| Tracy L. Pool, Md Pc | |
|
15243 Greenfield Dr Athens AL 35613-2899 | |
| (256) 216-3505 | |
| Not Available |
| Full Name | Tracy L. Pool, Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 15243 Greenfield Dr, Athens, Alabama |
| Authorized Official Name and Position | Tracy L Pool (OWNER) |
| Authorized Official Contact | 2565056826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy L. Pool, Md Pc 15243 Greenfield Dr Athens AL 35613-2899 Ph: (256) 216-3505 | Tracy L. Pool, Md Pc 15243 Greenfield Dr Athens AL 35613-2899 Ph: (256) 216-3505 |
| NPI Number | 1437472362 |
|---|---|
| Provider Enumeration Date | 03/06/2010 |
| Last Update Date | 08/28/2020 |
| Medicare PECOS PAC ID | 9931238557 |
|---|---|
| Medicare Enrollment ID | O20100520000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437472362 | NPI | - | NPPES |
| 117247 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Alabama) | Primary |
| Provider Name | Tracy Lynn Pool |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588690481 PECOS PAC ID: 5890788848 Enrollment ID: I20040406000210 |
| Provider Name | Ashley B Pool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568427169 PECOS PAC ID: 8123045895 Enrollment ID: I20051101000705 |
| Provider Name | Christina Vail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073983995 PECOS PAC ID: 3274838784 Enrollment ID: I20160222001315 |
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