Tracie A Martin (NPI# 1649386079, PAC ID# 0941202949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1649386079 |
| PAC ID by PECOS | 0941202949 |
| Professional Enrollment ID | I20070213000130 |
| Full Name | Tracie A Martin |
| Organization Legal Name | OAKLAND MERCY HOSPITAL |
| Address |
601 E 2nd St Mercyone Oakland Medical Center Prof Services Oakland NE 68045-1400 |
| Phone Number | 4026855601 |
| Gender | F |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4981604949 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281321 | OAKLAND MERCY HOSPITAL |
| 280077 | FREMONT HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 601 E 2nd St, Mercyone Oakland Medical Center Prof Services, Oakland, NE 68045-1400 | 4026855601 | OAKLAND MERCY HOSPITAL |
| Organization Legal Name | OAKLAND MERCY HOSPITAL |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pradeepa Vimalachandran | Family Medicine | Oakland Mercy Hospital | 211 N Engdahl Ave, Mercyone Oakland Family Medicine, Oakland, NE 68045-1431 |
| Peter J Thiele | Physician Assistant | Oakland Mercy Hospital | 220 Main St, Lyons, NE 68038-2676 |
| Bret R Elliott | Family Medicine | Oakland Mercy Hospital | 601 E 2nd St, Mercyone Oakland Medical Center Prof Services, Oakland, NE 68045-1400 |
| Amber J Hansen | Physician Assistant | Oakland Mercy Hospital | 601 E 2nd St, Oakland, NE 68045-1400 |
| Street Address |
601 E 2ND ST MERCYONE OAKLAND MEDICAL CENTER PROF SERVICES |
| City | OAKLAND |
| State | NE |
| Zip | 68045-1400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suresh Prasad | Internal Medicine | Odessa Sleep Associates | 601 E 2nd St, Suite E, Odessa, TX 79761-5423 |
| Rhonda D White | Nurse Practitioner | 601 E 2nd St, Suite G, Odessa, TX 79761-5435 | |
| Manoher L Gurru | Neurology | Odessa Sleep Associates | 601 E 2nd St, Suite E, Odessa, TX 79761-5423 |
| Paul E Johnson | General Surgery | Midlands Clinic PC | 601 E 2nd St, Oakland, NE 68045-1400 |
| Bret R Elliott | Family Medicine | Oakland Mercy Hospital | 601 E 2nd St, Mercyone Oakland Medical Center Prof Services, Oakland, NE 68045-1400 |
| Amber J Hansen | Physician Assistant | Oakland Mercy Hospital | 601 E 2nd St, Oakland, NE 68045-1400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Johnson | Physical Therapy | 312 N Oakland Ave, Oakland, NE 68045-1196 | |
| Pradeepa Vimalachandran | Family Medicine | Oakland Mercy Hospital | 211 N Engdahl Ave, Mercyone Oakland Family Medicine, Oakland, NE 68045-1431 |
| City | OAKLAND |
| Zip Code | 68045 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OAKLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tracie A Martin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.