Tracey King, PSYD in Lebanon, OH - Medicare Psychologist Provider

Tracey King, PSYD is a medicare enrolled "Psychologist" provider in Lebanon, Ohio. Her current practice location is 726 E Main St Ste F210, Lebanon, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 800-1270.

Tracey King is licensed to practice in Ohio (license number P.07970) 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 1912520065.

Contact Information

	Tracey King, PSYD
	726 E Main St Ste F210, Lebanon, OH 45036-1900
	(513) 800-1270
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracey King
Gender	Female
Speciality	Psychologist
Location	726 E Main St Ste F210, Lebanon, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912520065
Provider Enumeration Date: 05/24/2020
Last Update Date: 11/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6800213158
Enrollment ID: I20200901001141

Medical Identifiers

Medical identifiers for Tracey King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912520065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	P.07970 (Ohio)	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. Tracey King allows following entities to bill medicare on her behalf.

Entity Name	University Of Cincinnati Physicians Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123

Entity Name	State Of Ohio Office Of Budget And Management State Accounting
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023082716 PECOS PAC ID: 0143133181 Enrollment ID: O20031202000209

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. Tracey King 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
Tracey King, PSYD 726 E Main St Ste F210, Lebanon, OH 45036-1900 Ph: (513) 800-1270	Tracey King, PSYD 726 E Main St Ste F210, Lebanon, OH 45036-1900 Ph: (513) 800-1270

Reviews and Comments

Psychologist in Lebanon, OH

Mrs. Sarah Kinnison, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 Holbrook Ave, Lebanon, OH 45036 Phone: 513-934-5383
Dr. Paul J Walker Sr., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5787 St Route 63, Lebanon, OH 45036 Phone: 513-932-3388 Fax: 513-934-2901
Dr. Annette Marie Kosmac, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1879 Deerfield Rd, Lebanon, OH 45036 Phone: 513-695-2900
Elizabeth Paige Sebastian, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 759 Columbus Ave, Lebanon, OH 45036 Phone: 513-932-4337
Elizaabeth Osborn, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1297 Weathervane Way, Lebanon, OH 45036 Phone: 513-519-6611
Mr. Russell W Dern, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 975 Kingsivew Drive, Bldg A, Lebanon, OH 45036 Phone: 513-228-7800 Fax: 513-228-7846
Dr. Cynthia Miner, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 307 E Silver St, Lebanon, OH 45036 Phone: 513-934-0370 Fax: 513-934-4302

Tracey King, PSYD - Medicare Psychologist in Lebanon, OH