Stacie M Medlin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jarvisburg, North Carolina. She graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
114 N River St, Jarvisburg, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 578-1986.
Stacie M Medlin is licensed to practice in North Carolina (license number C008329) 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 1013293182.
Healthcare Provider's Profile
| Full Name | Stacie M Medlin |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 25 Years |
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| Location | 114 N River St, Jarvisburg, North Carolina |
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| 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:
- Stacie M Medlin graduated from medical school in 2000
NPI Data:
- NPI Number: 1013293182
- Provider Enumeration Date: 11/02/2011
- Last Update Date: 05/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789788985
- Enrollment ID: I20140111000124
Medical Identifiers
Medical identifiers for Stacie M Medlin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013293182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | C008329 (North Carolina) | 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. Stacie M Medlin 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 |
Stacie M Medlin, LCSW 1704 Highway 158, Roanoke Rapids, NC 27870 Ph: (252) 578-2273 | Stacie M Medlin, LCSW 114 N River St, Jarvisburg, NC 27947-9522 Ph: (252) 578-1986 |
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