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 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Candm Behavioral Health, Pllc and 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 | 26 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. |
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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 |
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| 1041C0700X | Social Worker - Clinical | C008329 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Candm Behavioral Health, Pllc | 5991933343 | 2 |
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 |
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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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