| Tracey Dee Luker, | |
|
3044 Due West Rd, Dallas, GA 30157-2125 | |
| (770) 443-9672 | |
| Not Available |
| Full Name | Tracey Dee Luker |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 4 Years |
| Location | 3044 Due West Rd, Dallas, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306585237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP012079 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fusion Therapy Center Llc | 3173981776 | 11 |
| Provider Name | Fusion Therapy Center Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801552435 PECOS PAC ID: 3173981776 Enrollment ID: O20230613003817 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Dee Luker, 3044 Due West Rd, Dallas, GA 30157-2125 Ph: (770) 443-9672 | Tracey Dee Luker, 3044 Due West Rd, Dallas, GA 30157-2125 Ph: (770) 443-9672 |
Leah Reilly Nichols, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Road, Dallas, GA 30157 Phone: 770-443-9672 | |
Amy Mason, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 Fax: 770-505-3595 | |
Emily Gantt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 283 Red Hawk Way, Dallas, GA 30132 Phone: 561-801-3148 | |
Mary Kathleen Morris, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 | |
Andrea Baerwalde, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Garland Rose Ln, Dallas, GA 30157 Phone: 770-380-2067 Fax: 770-974-7631 | |
Clifton Young, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 | |
Jessica Duffey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 |