Individual ProviderTracy WalshInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address311 9th St N Ste 100, Naples, FL 34102-5886(239) 624-0940PECOS EnrollmentBased on the most recent information from CMS, provider Tracy Walsh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1316250103Provider TypeIndividualFull NameWalsh, TracyTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/21/2010Last Updated3/30/2020Contact InformationPractice LocationPractice Address311 9th St N Ste 100, Naples, FL 34102-5886Phone(239) 624-0940Fax(239) 624-0941Mailing LocationMailing Address311 9th St N Ste 300, Naples, FL 34102-5887Phone(239) 624-0940Fax(239) 624-0941Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME116050FloridaProvider IdentifiersIDDescriptionIssuerIDHH964ZDescriptionOtherIssuerMEDICAREFloridaID009157000DescriptionMedicaidIssuerUnlistedFloridaID14Q9TDescriptionOtherIssuerBCBSFlorida