Mrs Stacy Johnson Gambill, FNP in Galax, VA - Medicare Nurse Practitioner

Mrs Stacy Johnson Gambill, FNP is a medicare enrolled "Nurse Practitioner - Family" in Galax, Virginia. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Geriatric Solutions Pllc, Alleghany County Memorial Hospital Inc, Premier Geriatric Solutions Pllc and her current practice location is 5261 Carrollton Pike, Suite C, Galax, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 238-0911.

Mrs Stacy Johnson Gambill is licensed to practice in Virginia (license number 0024167387) 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 1457436008.

Contact Information

	Mrs Stacy Johnson Gambill, FNP
	5261 Carrollton Pike, Suite C, Galax, VA 24381-3664
	(276) 238-0911
	(276) 238-0912

Map and Direction

Provider's Profile

Full Name	Mrs Stacy Johnson Gambill
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	5261 Carrollton Pike, Galax, Virginia
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:

Mrs Stacy Johnson Gambill graduated from nursing school in 2005

NPI Data:

NPI Number: 1457436008
Provider Enumeration Date: 10/25/2006
Last Update Date: 05/29/2019

Medicare PECOS Information:

PECOS PAC ID: 5092883355
Enrollment ID: I20081014000413

Medical Identifiers

Medical identifiers for Mrs Stacy Johnson Gambill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457436008	NPI	-	NPPES
VV9055B667	Other	VA	PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024167387 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alleghany County Memorial Hospital	Sparta, NC	Hospital
Novant Health Forsyth Medical Center	Winston-salem, NC	Hospital
Hugh Chatham Memorial Hospital	Elkin, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Geriatric Solutions Pllc	3072940279	63
Alleghany County Memorial Hospital Inc	2466353008	18
Premier Geriatric Solutions Pllc	3072940279	63

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. Mrs Stacy Johnson Gambill allows following entities to bill medicare on her behalf.

Entity Name	Virginia Pac Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073042800 PECOS PAC ID: 4587930672 Enrollment ID: O20171017002271

Entity Name	Premier Geriatric Solutions Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568093672 PECOS PAC ID: 3072940279 Enrollment ID: O20200228001800

Entity Name	Pai Participant 1 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934

Entity Name	Hospitalist Medicine Physicians Of Washington Tacoma Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740911585 PECOS PAC ID: 5395126270 Enrollment ID: O20240223002812

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. Mrs Stacy Johnson Gambill 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
Mrs Stacy Johnson Gambill, FNP 190 Warden Rd, Sparta, NC 28675-9093 Ph: () -	Mrs Stacy Johnson Gambill, FNP 5261 Carrollton Pike, Suite C, Galax, VA 24381-3664 Ph: (276) 238-0911

Reviews and Comments

Nurse Practitioner Nurses in Galax, VA

Linda Marie Radford-goad, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Doctors Park, Galax, VA 24333 Phone: 276-236-2947
Mrs. Ashley Nicole Underwood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 199 Hospital Dr, Galax, VA 24333 Phone: 276-236-5181 Fax: 276-236-3297
Mrs. Kasey Acklin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Hospital Dr, Galax, VA 24333 Phone: 276-236-8181
Carrie Sizemore Hall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Cranberry Rd Ste 200a, Galax, VA 24333 Phone: 276-236-9953
Meagan Underwood Crowder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Doctors Park, Galax, VA 24333 Phone: 276-236-5161
Jenell Joines, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Maroon Tide Dr, Galax, VA 24333 Phone: 888-908-4788
Heather Richardson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Cranberry Rd Ste 200a, Galax, VA 24333 Phone: 276-236-9953 Fax: 276-236-6084

Mrs Stacy Johnson Gambill, FNP - Medicare Nurse Practitioner in Galax, VA