Stacy Underwood, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Mesa, Arizona. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice District Medical Group Inc and her current practice location is
1255 W Baseline Rd, Suite B258, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 820-0825.
Stacy Underwood is licensed to practice in Arizona (license number AP3830) 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 1043325541.
Healthcare Provider's Profile
| Full Name | Stacy Underwood |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 8 Years |
|---|
| Location | 1255 W Baseline Rd, Mesa, Arizona |
|---|
| 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:
- Stacy Underwood graduated from medical school in 2017
NPI Data:
- NPI Number: 1043325541
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 07/09/2012
Medicare PECOS Information:
- PECOS PAC ID: 5597948851
- Enrollment ID: I20110323000722
Medical Identifiers
Medical identifiers for Stacy Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043325541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 074959 (New York) | Secondary |
| 163W00000X | Registered Nurse | 5 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F401243-1 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP3830 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| District Medical Group Inc | 7315086691 | 406 |
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 Underwood allows following entities to bill medicare on her behalf.
| Entity Name | Southwest Behavioral Health Services Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1144384389 PECOS PAC ID: 9739075854 Enrollment ID: O20040225000948 |
|---|
| Entity Name | Jewish Family & Childrens Service |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1023174455 PECOS PAC ID: 9234028671 Enrollment ID: O20040312001009 |
|---|
| Entity Name | Connectionsaz, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1083840953 PECOS PAC ID: 1759437635 Enrollment ID: O20090917000359 |
|---|
| Entity Name | District Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
|---|
| Entity Name | Community Partners Integrated Healthcare, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669897385 PECOS PAC ID: 7315163938 Enrollment ID: O20140716002626 |
|---|
| Entity Name | Connectionsaz Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1083840953 PECOS PAC ID: 3072858745 Enrollment ID: O20181227002230 |
|---|
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 Underwood 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 Underwood, NP 4747 N 7th St, Suite 100, Phoenix, AZ 85014-3653 Ph: (602) 279-7655 | Stacy Underwood, NP 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 Ph: (480) 820-0825 |
Reviews and Comments