DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TRACEY W BEFAY PA

MEDICARE: TRACEY W BEFAY PA
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
1363A00000XPhysician Assistant474WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11016871OTHERNATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS
2474-023OTHERWILICENSE

General Provider Information

NPI Number : 1053395913
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACEY W BEFAY PA
Provider Business Mailing Address
First Line : PO BOX 22487
Second Line :
City : GREEN BAY
State : WI
Zip : 54305-2487
Country : US
Telephone Number : 920-445-7210
Fax Number :
Provider Business Practice Location Address
First Line : 1630 COMMANCHE AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54313-5753
Country : US
Telephone Number : 920-433-6000
Fax Number : 920-430-4719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 11/15/2022

Similar Medicare Providers

1568456598 — MR. MARK THOMAS HUSEN ATC, LAT
Practice Location Address:
1630 COMMANCHE AVE
GREEN BAY, WI
54313-5753
Practice Phone: 920-430-4750
Practice Fax: 920-430-4746
1639165079 — MR. CHAD ALAN CARTER LAT ATC
Practice Location Address:
1630 COMMANCHE AVE
GREEN BAY, WI
54313-5753
Practice Phone: 920-430-4786
Practice Fax: 920-430-4746
1366438335 — MONICA ANN WAGNER LAT
Practice Location Address:
1630 COMMANCHE AVE
GREEN BAY, WI
54313-5753
Practice Phone: 920-430-4750
Practice Fax: 920-430-4746
1629066451 — MR. TERRY ROBERT BEECK LAT/ATC
Practice Location Address:
1630 COMMANCHE AVE
GREEN BAY, WI
54313-5753
Practice Phone: 920-430-4750
Practice Fax:
1114917580 — ANGELA YVONNE PUCHALLA LAT, ATC
Practice Location Address:
1630 COMMANCHE AVE
GREEN BAY, WI
54313-5753
Practice Phone: 920-655-3005
Practice Fax:
1992789754 — EDWARD J BONGIORNO DO
Practice Location Address:
1630 COMMANCHE AVE
GREEN BAY, WI
54313-5753
Practice Phone: 920-430-4700
Practice Fax:

Directions to “ TRACEY W BEFAY PA” 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.