TRACY KATHERINE WICK MD
NPI 1174617203
Pediatrics - Adolescent Medicine in Dayton, OH

NPI Status: Active since October 03, 2006

Contact Information

9000 NORTH MAIN STREET
SUITE 332
DAYTON, OH
ZIP 45415
Phone: (937) 832-7337
Fax: (937) 832-4817

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  • Individual
  • Female
  • Years of Experience 29
  • Pediatrics
  • Adolescent Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TRACY WICK

This page provides the complete NPI Profile along with additional information for Tracy Wick, a pediatrician established in Dayton, Ohio with a medical specialization in Pediatrics, focusing in adolescent medicine and more than 29 years of experience. She graduated from Wright State University Boonshoft School Of Medicine in 1997. The healthcare provider is registered in the NPI registry with number 1174617203 assigned on October 2006. The practitioner's primary taxonomy code is 2080A0000X with license number 35075468 (OH). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1174617203
Provider Name
TRACY KATHERINE WICK MD
Gender
Female
Entity Type
Individual
Location Address
9000 NORTH MAIN STREET SUITE 332 DAYTON, OH 45415
Location Phone
(937) 832-7337
Location Fax
(937) 832-4817
Mailing Address
9000 NORTH MAIN STREET SUITE 332 DAYTON, OH 45415
Mailing Phone
(937) 832-7337
Mailing Fax
(937) 832-4817
Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
10-03-2006
Last Update Date
07-08-2007
Code Navigator

A pediatrician like Tracy Wick is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
License No.
35075468
License State
OH
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Medicare Participation & PECOS Enrollment Status

Tracy Wick is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Tracy Wick is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 547629255

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230628003281

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174617203, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 2 + 1 + 1 + 4 + 2 + 0 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1174617203.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pediatrics (Adolescent Medicine)
9000 NORTH MAIN STREET, SUITE 332
DAYTON, OH 45415
Pediatrics (Adolescent Medicine)
9000 NORTH MAIN STREET, SUITE 332
DAYTON, OH 45415
Pediatrics (Adolescent Medicine)
9000 NORTH MAIN STREET, SUITE 332
DAYTON, OH 45415
Pediatrics (Adolescent Medicine)
9000 NORTH MAIN STREET, SUITE 332
DAYTON, OH 45415
Pediatrics (Adolescent Medicine)
9000 NORTH MAIN STREET, SUITE 332
DAYTON, OH 45415
Pediatrics
9000 NORTH MAIN STREET, SUITE 332
DAYTON, OH 45415
Family Medicine
9000 NORTH MAIN STREET, SUITE 403
DAYTON, OH 45415

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174617203, enumerated as an "individual" on October 03, 2006.

The provider is located at 9000 NORTH MAIN STREET SUITE 332 DAYTON, OH 45415 and the phone number is (937) 832-7337.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.