Stacey Marie Land, AGACNP-BC in Dalton, GA - Medicare Nurse Practitioner

Stacey Marie Land, AGACNP-BC is a medicare enrolled "Nurse Practitioner" in Dalton, Georgia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hamilton Medical Center, Inc and her current practice location is 1200 Memorial Dr, Dalton, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 272-2207.

Stacey Marie Land is licensed to practice in Georgia (license number RN190644) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1235629171.

Contact Information

	Stacey Marie Land, AGACNP-BC
	1200 Memorial Dr, Dalton, GA 30720-2529
	(706) 272-2207
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey Marie Land
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1200 Memorial Dr, Dalton, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey Marie Land graduated from nursing school in 2018

NPI Data:

NPI Number: 1235629171
Provider Enumeration Date: 05/16/2018
Last Update Date: 02/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1658700026
Enrollment ID: I20200406002260

Medical Identifiers

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

Identifier	Type	State	Issuer
1235629171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN190644 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hamilton Medical Center	Dalton, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hamilton Medical Center, Inc	0446151179	85

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 Marie Land allows following entities to bill medicare on her behalf.

Entity Name	Hamilton Medical Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528056066 PECOS PAC ID: 0446151179 Enrollment ID: O20040116000053

Entity Name	Senior Medical Systems, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427493709 PECOS PAC ID: 9931348752 Enrollment ID: O20130626000658

Entity Name	Pruitthealth Hospice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013955749 PECOS PAC ID: 2264344217 Enrollment ID: O20190702003113

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 Marie Land 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 Marie Land, AGACNP-BC 210 Willowbrook Dr Se, Calhoun, GA 30701-1410 Ph: (706) 264-6751	Stacey Marie Land, AGACNP-BC 1200 Memorial Dr, Dalton, GA 30720-2529 Ph: (706) 272-2207

Reviews and Comments

Nurse Practitioner Nurses in Dalton, GA

Mrs. Katie Louise Wooten, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Reed Rd Ste 104, Dalton, GA 30720 Phone: 706-278-1622 Fax: 706-272-6445
Joy Bernice Whaley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 808 Professional Blvd, Dalton, GA 30720 Phone: 706-226-2621 Fax: 706-281-2325
Mrs. Kelli Michelle Welch, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2918 E Walnut Ave, Dalton, GA 30721 Phone: 706-529-4600 Fax: 706-529-4633
Autumn Denise Bartenfield, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Chattanooga Ave, Dalton, GA 30720 Phone: 706-529-7124 Fax: 706-529-7126
Rod Lee Lewis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr Ste 200, Dalton, GA 30720 Phone: 706-226-9355 Fax: 706-226-9380
Claire Allman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1436 Broadrick Dr Ste B, Dalton, GA 30720 Phone: 706-226-3434 Fax: 706-226-4820
Pamela J Simmons, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 Antioch Rd, Dalton, GA 30721 Phone: 706-277-1100

Stacey Marie Land, AGACNP-BC - Medicare Nurse Practitioner in Dalton, GA