MEDICARE: TRACY LYNEE VANDERSCHAAF R, M, MR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	247100000X	Radiologic Technologist	050748	FL
2	2471M1202X	Magnetic Resonance Imaging Radiologic Technologist	240876
3	2471M2300X	Mammography Radiologic Technologist	240876

General Provider Information

NPI Number	:	1598873663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY LYNEE VANDERSCHAAF R, M, MR

Provider Business Mailing Address
First Line	:	50128 130TH AVE
Second Line	:
City	:	LAURENS
State	:	IA
Zip	:	50554-8522
Country	:	US
Telephone Number	:	850-832-4970
Fax Number	:

Provider Business Practice Location Address
First Line	:	511 E 23RD ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-5307
Country	:	US
Telephone Number	:	850-747-1140
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	03/25/2008

Similar Medicare Providers

1134188824 — SUNCOAST OPEN MRI LLC
Practice Location Address:

511 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-747-8822
Practice Fax: 850-747-8664

1225024680 — MR. SHELDON J ROBERTS PA
Practice Location Address:

509 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-215-8999
Practice Fax: 850-215-8681

1053345264 — TERRIE LYNN FRANKENFIELD R
Practice Location Address:

511 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-747-8822
Practice Fax: 850-747-8664

1568480580 — JENNIFER JONE JOHNS R, CT, MR
Practice Location Address:

511 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-747-8822
Practice Fax: 850-747-8664

1083632095 — ALBERT MICHAEL PICKLE R, MR
Practice Location Address:

511 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-747-8822
Practice Fax: 850-747-8664

1942402243 — DR. ABDEL-AZIM BAYOUMY M.D.
Practice Location Address:

509 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-215-3001
Practice Fax: 850-215-3668

Directions to “ TRACY LYNEE VANDERSCHAAF R, M, MR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.