407 E 3RD ST ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER
DULUTH, MN 55805-1950 US PECOS Enrolled
Overview
Traci A. Rogers is a Nurse Practitioner (Family) in the DULUTH area. Traci A. Rogers primary office location is at 407 E 3RD ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1841293347 and the information was updated approximately 9 years ago.
Traci A. Rogers is part of two medical groups, including COMPREHENSIVE REHAB CONSULTANTS PLLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| R 126539-4 | MN |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 026644200 | MN |
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Family) - Taxonomy Code 363LF0000X | MN | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20070302000200 |
| PECOS Individual PAC ID: | 3779685185 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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