Mr John Leroy Stacy Jr, CSAC, LPC in Norfolk, VA

Mr John Leroy Stacy Jr, CSAC, LPC is a medicare enrolled "Counselor - Professional" provider in Norfolk, Virginia. His current practice location is 1216 Granby St Ste 211, Norfolk, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 632-0343.

Mr John Leroy Stacy Jr is licensed to practice in Virginia (license number 0701006465) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306182795.

Contact Information

	Mr John Leroy Stacy Jr, CSAC, LPC
	1216 Granby St Ste 211, Norfolk, VA 23510-2622
	(757) 632-0343
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Leroy Stacy Jr
Gender	Male
Speciality	Counselor - Professional
Location	1216 Granby St Ste 211, Norfolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306182795
Provider Enumeration Date: 12/12/2012
Last Update Date: 04/17/2024

Medicare PECOS Information:

PECOS PAC ID: 2961843131
Enrollment ID: I20240628000729

Medical Identifiers

Medical identifiers for Mr John Leroy Stacy Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306182795	NPI	-	NPPES
1245936616	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	0710102681 (Virginia)	Secondary
101YP2500X	Counselor - Professional	0701006465 (Virginia)	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. Mr John Leroy Stacy Jr allows following entities to bill medicare on his behalf.

Entity Name	Redefine Therapy, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245936616 PECOS PAC ID: 9830633007 Enrollment ID: O20240628000622

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. Mr John Leroy Stacy Jr 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
Mr John Leroy Stacy Jr, CSAC, LPC 1216 Granby St Ste 211, Norfolk, VA 23510-2622 Ph: (757) 632-0343	Mr John Leroy Stacy Jr, CSAC, LPC 1216 Granby St Ste 211, Norfolk, VA 23510-2622 Ph: (757) 632-0343

Reviews and Comments

Counselor in Norfolk, VA

Kelly Patino Trejo, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7931 Fax: 757-668-9132
Sonnee Da'niel Stanley, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9612 Wells Pkwy, Norfolk, VA 23503 Phone: 304-888-2910
Ruth H Bybee, LPC Counselor Medicare: Medicare Enrolled Practice Location: 208 E Plume St Ste 327b, Norfolk, VA 23510 Phone: 757-637-0840
Lauren P Jennings, LPC, LMFT, CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 N Center Dr Suite 141, Interstate Corporate Center Building 11, Norfolk, VA 23502 Phone: 757-466-0700 Fax: 757-461-4826
Ms. Susan Adams Niedenthal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Newtown Rd, Suite 300, Norfolk, VA 23502 Phone: 757-466-3336 Fax: 757-455-5750
Jamee Reese, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Tidewater Dr, Ste. A, Norfolk, VA 23504 Phone: 757-533-9242
Rachel Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7460 Central Business Park Dr, Norfolk, VA 23513 Phone: 757-644-6391

Mr John Leroy Stacy Jr, CSAC, LPC - Medicare Counselor in Norfolk, VA