TRACEY K. TRACY MD – NPI #1073760955
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

TRACEY TRACY is a physician located in LA GRANDE, OR. NPPES has assigned the NPI number 1073760955 to TRACEY TRACY on August 22, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name TRACEY KATHLEEN HANRAHAN. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Apr 05, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRACEY TRACY below.

NPI Profile for
TRACEY K. TRACY

NPI Number
1073760955
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TRACEY K. TRACY
Former Name: TRACEY KATHLEEN HANRAHAN
Credentials
MD
Primary location
506 4TH ST
LA GRANDE, OR 97850
Phone: (541) 663-3138 Fax: (541) 975-5120
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TRACEY TRACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICAREORP00965892
MEDICAIDOR500620109
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
OR MD151037

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE - Graduated 2007
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.