Stacey Leanne Dillard, is a medicare enrolled "Social Worker - Clinical" provider in Mansfield, Louisiana. Her current practice location is
130 Jefferson St, Mansfield, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 872-2700.
Stacey Leanne Dillard is licensed to practice in Louisiana (license number 10036) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710250204.
Healthcare Provider's Profile
| Full Name | Stacey Leanne Dillard |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 130 Jefferson St, Mansfield, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710250204
- Provider Enumeration Date: 02/15/2012
- Last Update Date: 05/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 2365690864
- Enrollment ID: I20131203001563
Medical Identifiers
Medical identifiers for Stacey Leanne Dillard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710250204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 10036 (Louisiana) | Primary |
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 Leanne Dillard allows following entities to bill medicare on her behalf.
| Entity Name | Desoto Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467455154 PECOS PAC ID: 2163321829 Enrollment ID: O20040102000229 |
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| Entity Name | Desoto Regional Family Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043359839 PECOS PAC ID: 7719970599 Enrollment ID: O20040412001175 |
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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 Leanne Dillard 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 Leanne Dillard, 130 Jefferson St, Mansfield, LA 71052-2602 Ph: (318) 872-2700 | Stacey Leanne Dillard, 130 Jefferson St, Mansfield, LA 71052-2602 Ph: (318) 872-2700 |
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