Stacy Huddleston, LCSW in Tyler, TX - Medicare Social Worker Provider

Stacy Huddleston, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tyler, Texas. Her current practice location is 10306 Nolan Dr, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 200-9540.

Stacy Huddleston is licensed to practice in Texas (license number 68863) 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 1255121356.

Contact Information

	Stacy Huddleston, LCSW
	10306 Nolan Dr, Tyler, TX 75709-4512
	(903) 200-9540
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Huddleston
Gender	Female
Speciality	Social Worker - Clinical
Location	10306 Nolan Dr, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255121356
Provider Enumeration Date: 05/12/2025
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 5698294577
Enrollment ID: I20250522003648

Medical Identifiers

Medical identifiers for Stacy Huddleston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255121356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	68863 (Texas)	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. Stacy Huddleston allows following entities to bill medicare on her behalf.

Entity Name	Connect And Restore Therapy, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699565721 PECOS PAC ID: 4789103664 Enrollment ID: O20250522003635

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. Stacy Huddleston 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
Stacy Huddleston, LCSW 10306 Nolan Dr, Tyler, TX 75709-4512 Ph: (903) 200-9540	Stacy Huddleston, LCSW 10306 Nolan Dr, Tyler, TX 75709-4512 Ph: (903) 200-9540

Reviews and Comments

Social Worker in Tyler, TX

Larissa Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6141 Paluxy Dr Ste 120, Tyler, TX 75703 Phone: 903-707-3187
Marina Randall, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1611 S Wall Ave, Tyler, TX 75701 Phone: 419-022-1626
July J Johnson-minnick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4111 University Blvd, Tyler, TX 75701 Phone: 903-266-3400
Ms. Jana Meagher Sisk, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1121 Ese Loop323, Suite 204, Tyler, TX 75701 Phone: 903-581-0933 Fax: 903-581-3977
Laurie Ann Frank, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1800 Shiloh Rd Ste 106, Tyler, TX 75703 Phone: 903-780-9811
Hope Lambert, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1808 Blossom Ln, Tyler, TX 75701 Phone: 903-312-0874
Mrs. Kristi Ann Lemmert, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 18118 County Road 4202, Tyler, TX 75704 Phone: 903-279-2981

Stacy Huddleston, LCSW - Medicare Clinical Social Worker in Tyler, TX