Ms Stacy Haag, LPC/MHSP in Clarksville, TN - Medicare Counselor Provider

Ms Stacy Haag, LPC/MHSP is a medicare enrolled "Counselor - Professional" provider in Clarksville, Tennessee. Her current practice location is 105 Otis Smith Dr, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 320-9213.

Ms Stacy Haag is licensed to practice in Tennessee (license number 3299) 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 1104000769.

Contact Information

	Ms Stacy Haag, LPC/MHSP
	105 Otis Smith Dr, Clarksville, TN 37043-8940
	(931) 320-9213
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Stacy Haag
Gender	Female
Speciality	Counselor - Professional
Location	105 Otis Smith Dr, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104000769
Provider Enumeration Date: 12/19/2007
Last Update Date: 05/06/2024

Medicare PECOS Information:

PECOS PAC ID: 0840631065
Enrollment ID: I20240517003116

Medical Identifiers

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

Identifier	Type	State	Issuer
1104000769	NPI	-	NPPES
1407	Other	MS	MISSISSIPPI STATE BOARD OF EXAMINERS FOR LICENSED PROFESSIONAL COUNSELORS
PH1444	Other	MS	MS DEPT OF MENTAL HEALTH
3299	Other	TN	TN BOARD OF PROF. COUNSELORS AND MARTIAL AND FAMILY THERAPISTS LICENSED PASTORAL
290113	Other	KY	KENTUCKY STATE BOARD OF PROF. COUNSELORS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	1407 (Mississippi)	Secondary
101YP2500X	Counselor - Professional	3299 (Tennessee)	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. Ms Stacy Haag allows following entities to bill medicare on her behalf.

Entity Name	Family Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124756085 PECOS PAC ID: 5991064420 Enrollment ID: O20230501001893

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. Ms Stacy Haag 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
Ms Stacy Haag, LPC/MHSP 105 Otis Smith Dr, Clarksville, TN 37043-8940 Ph: (931) 320-9213	Ms Stacy Haag, LPC/MHSP 105 Otis Smith Dr, Clarksville, TN 37043-8940 Ph: (931) 320-9213

Reviews and Comments

Counselor in Clarksville, TN

Cynthia Lucas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 585 S. Riverside Dr, G, Clarksville, TN 37040 Phone: 931-503-0777
Miss Diane Conley, LADACII, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1725-wilma Rudolph Blvd Ste 1, Clarksville, TN 37040 Phone: 931-221-2839
Mrs. Shelia Carter, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2321 Rudolphtown Rd, Clarksville, TN 37043 Phone: 931-494-6803
Mr. Anthony Russell Saluzzo, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3320 Carrie Dr, Clarksville, TN 37042 Phone: 931-920-7241
Sara N. Sharp, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 8th St, Clarksville, TN 37040 Phone: 931-920-7293
Kenneth Jamal Hopson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 Memorial Dr, Clarksville, TN 37043 Phone: 931-920-7300
Mrs. Abigail Miller, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 Memorial Cir, Clarksville, TN 37043 Phone: 931-920-7333

Ms Stacy Haag, LPC/MHSP - Medicare Counselor in Clarksville, TN