Stacey Mackay, in St Louis Park, MN - Medicare Family Practice

Stacey Mackay, is a medicare enrolled "Family Medicine" physician in St Louis Park, Minnesota. She went to University Of Virginia School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Park Nicollet Clinic and her current practice location is 3850 Park Nicollet Blvd, Park Nicollet Clinic - Slp, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-3025.

Stacey Mackay is licensed to practice in Minnesota (license number 41342) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760469175.

Contact Information

	Stacey Mackay,
	3850 Park Nicollet Blvd, Park Nicollet Clinic - Slp, St Louis Park, MN 55416
	(952) 993-3025
	(952) 993-1937

Map and Direction

Physician's Profile

Full Name	Stacey Mackay
Gender	Female
Speciality	Family Practice
Experience	32 Years
Location	3850 Park Nicollet Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey Mackay attended and graduated from University Of Virginia School Of Medicine in 1992

NPI Data:

NPI Number: 1760469175
Provider Enumeration Date: 12/28/2005
Last Update Date: 08/14/2018

Medicare PECOS Information:

PECOS PAC ID: 4587677182
Enrollment ID: I20060727000223

Medical Identifiers

Medical identifiers for Stacey Mackay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760469175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	41342 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1529

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacey Mackay allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Mackay is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacey Mackay, 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 Ph: (952) 993-7169	Stacey Mackay, 3850 Park Nicollet Blvd, Park Nicollet Clinic - Slp, St Louis Park, MN 55416 Ph: (952) 993-3025

Reviews and Comments

Family Medicine Doctors in St Louis Park, MN

Elisabeth Jean Mcclean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-883-1000
Kari Miller, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3512
Dr. Sara Johanna Mitlyng, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6600 Excelsior Blvd, Suite 100, St Louis Park, MN 55426 Phone: 952-993-7700
Dr. Wayne D Liebhard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3025
Michael Dukinfield, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426 Phone: 952-993-7700
Jodi Milburn, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-6666
Mary D Wagner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426 Phone: 952-993-7707

Stacey Mackay, - Medicare Family Practice in St Louis Park, MN