MEDICARE: TRACY EDWARD ROGERS PA-C

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	363AS0400X	Surgical Physician Assistant	441	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000097043	OTHER	MT	BLUE CROSS

General Provider Information

NPI Number	:	1245341874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY EDWARD ROGERS PA-C

Provider Business Mailing Address
First Line	:	202 CONWAY DR STE 200
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3153
Country	:	US
Telephone Number	:	406-751-4189
Fax Number	:	406-751-4145

Provider Business Practice Location Address
First Line	:	202 CONWAY DR STE 200
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3153
Country	:	US
Telephone Number	:	406-751-4189
Fax Number	:	406-751-4145

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/11/2017

Similar Medicare Providers

1396604625 — HALEY LEUN
Practice Location Address:

202 CONWAY DR
KALISPELL, MT
59901-3153

Practice Phone: 406-758-7490
Practice Fax: 406-758-7080

1356394944 — KALISPELL REGIONAL MEDICAL CENTER INC
Practice Location Address:

202 CONWAY DRIVE , SUITE 100
KALISPELL, MT
59901-3153

Practice Phone: 406-751-5666
Practice Fax: 406-755-0971

1154376671 — APPLIED HEALTH SERVICES INC
Practice Location Address:

202 CONWAY DR , SUITE 100
KALISPELL, MT
59901-3153

Practice Phone: 406-752-5656
Practice Fax: 406-755-0971

1528013869 — APPLIED HEALTH SERVICES INC
Practice Location Address:

202 CONWAY DR , SUITE 100
KALISPELL, MT
59901-3153

Practice Phone: 406-751-5311
Practice Fax: 406-257-2010

1659327120 — LISA A FLEISCHER MD
Practice Location Address:

202 CONWAY DR , SUITE 200
KALISPELL, MT
59901-3153

Practice Phone: 406-752-8433
Practice Fax: 406-756-6768

1437243763 — BRIANNE PELTZ PA
Practice Location Address:

202 CONWAY DR STE 200
KALISPELL, MT
59901-3153

Practice Phone: 720-848-0000
Practice Fax:

Directions to “ TRACY EDWARD ROGERS PA-C” 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.