Tracy C Webster (NPI# 1013991694, PAC ID# 5597774471) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013991694 |
| PAC ID by PECOS | 5597774471 |
| Professional Enrollment ID | I20060421000413 |
| Full Name | Tracy C Webster |
| Organization Legal Name | PHYNET INC |
| Address |
219 N Polk St Jefferson TX 75657-2131 |
| Phone Number | 9036652600 |
| Gender | F |
| Credential | NP |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527038298 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| 450702 | LONGVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 219 N Polk St, Jefferson, TX 75657-2131 | 9036652600 | PHYNET INC |
| 123 N Main St, Lone Star, TX 75668 | 9036560633 | PHYNET INC |
| Organization Legal Name | PHYNET INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Ann Fried | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Tessa J Barton | Nurse Practitioner | Phynet Inc | 2019 A S Henderson Blvd, Suite 4, Kilgore, TX 75662-3565 |
| Heather R Grindle | Nurse Practitioner | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Terry H. Elders | Nurse Practitioner | Phynet Inc | 402 N Kaufman St, Linden, TX 75563-5234 |
| Robert C Mcdaniel | Family Medicine | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Mary A Corley | Nurse Practitioner | Phynet Inc | 219 N Polk St, Jefferson, TX 75657-2131 |
| Cassandra L Ford | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Juan Raul Zapata | Family Medicine | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Laura L Brown | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Gordon F Green | Internal Medicine | Phynet Inc | 402 N Kaufman St, Linden, TX 75563-5234 |
| Street Address |
219 N POLK ST |
| City | JEFFERSON |
| State | TX |
| Zip | 75657-2131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary A Corley | Nurse Practitioner | Phynet Inc | 219 N Polk St, Jefferson, TX 75657-2131 |
| Martin Young | Physical Therapy | Marshall Physical Therapy, Inc | 219 N Polk St, Jefferson Life Center, Jefferson, TX 75657-2131 |
| Trenton Riley Carpenter | Physical Therapy | Marshall Physical Therapy, Inc | 219 N Polk St, Jefferson Life Center, Jefferson, TX 75657-2131 |
| David F Penn | Physical Therapy | Marshall Physical Therapy, Inc | 219 N Polk St, Jefferson Life Center, Jefferson, TX 75657-2131 |
| Robin L Gale | Nurse Practitioner | Phynet Inc | 219 N Polk St, Jefferson, TX 75657-2131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nita Ann Little | Nurse Practitioner | East Texas Border Health Clinic | 106 N Alley St, Genesis Primcare, Jefferson, TX 75657-1408 |
| City | JEFFERSON |
| Zip Code | 75657 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JEFFERSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tracy C Webster.
| 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.