MEDICARE: MRS. TRACY ANN BARNA MS CCC SLP

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	235Z00000X	Speech-Language Pathologist	SA7322	FL

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	11938801	OTHER	FL	CITRUS MED HMO
3	S2809	OTHER	FL	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568512614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRACY ANN BARNA MS CCC SLP

Provider Business Mailing Address
First Line	:	3379 SUNNY BROOK TRL
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34604-0664
Country	:	US
Telephone Number	:	352-797-2107
Fax Number	:

Provider Business Practice Location Address
First Line	:	236 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5691
Country	:	US
Telephone Number	:	352-683-2120
Fax Number	:	352-683-9232

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	02/07/2022

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