Ms Mary Beth Stack, NURSE PRACTITIONER - Nurse Practitioner in Charlottesville, VA

Ms Mary Beth Stack, NURSE PRACTITIONER is a Nurse Practitioner based in Charlottesville, Virginia. Ms Mary Beth Stack is licensed to practice in Virginia (license number 0024096552) and her current practice location is 2955 Ivy Rd, Suite 201 University Of Virginia Health System Northrid, Charlottesville, Virginia. She can be reached at her office (for appointments etc.) via phone at (434) 243-4531.

NPI number for Ms Mary Beth Stack is 1437234770 and her current mailing address is 588 B Reservoir Ridge Rd, Charlottesville, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437234770.

Contact Information

Ms Mary Beth Stack, NURSE PRACTITIONER
2955 Ivy Rd, Suite 201 University Of Virginia Health System Northrid,
Charlottesville, VA 22903
(434) 243-4531
(434) 243-4717

Map and Direction




Provider's Profile

Full NameMs Mary Beth Stack
GenderFemale
SpecialityNurse Practitioner
Location2955 Ivy Rd, Charlottesville, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437234770
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 01/06/2015

Medical Identifiers

Medical identifiers for Ms Mary Beth Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437234770NPI-NPPES
C07038OtherCMS GROUP
500029674OtherRAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001096552 (Virginia)Secondary
363L00000XNurse Practitioner 0024096552 (Virginia)Primary

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. Ms Mary Beth Stack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mary Beth Stack, NURSE PRACTITIONER
588 B Reservoir Ridge Rd,
Charlottesville, VA 22901

Ph: (434) 978-1361
Ms Mary Beth Stack, NURSE PRACTITIONER
2955 Ivy Rd, Suite 201 University Of Virginia Health System Northrid,
Charlottesville, VA 22903

Ph: (434) 243-4531

Reviews and Comments


Nurse Practitioner Nurses in Charlottesville, VA

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Mrs. Stephanie Richardson Wilhelm, CRNP
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Kimberly Conrad,
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Medicare: Accepting Medicare Assignments
Practice Location: 1240 Lee St, Charlottesville, VA 22908
Phone: 434-924-9333    Fax: 434-244-7526

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.