Stacey Renee Walker, LGSW is a medicare enrolled "Social Worker - Clinical" provider in Salisbury, Maryland. Her current practice location is
200 E Vine St, Salisbury, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 543-7181.
Stacey Renee Walker is licensed to practice in Maryland (license number 19410) 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 1568772515.
Healthcare Provider's Profile
Full Name | Stacey Renee Walker |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 200 E Vine St, Salisbury, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568772515
- Provider Enumeration Date: 10/08/2010
- Last Update Date: 05/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395123517
- Enrollment ID: I20220531002068
Medical Identifiers
Medical identifiers for Stacey Renee Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568772515 | NPI | - | NPPES |
609550004 | Medicaid | MD | |
609500300 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 19410 (Maryland) | 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. Stacey Renee Walker allows following entities to bill medicare on her behalf.
Entity Name | Tidalhealth Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286 |
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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. Stacey Renee Walker 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 |
Stacey Renee Walker, LGSW 200 E Vine St, Salisbury, MD 21804-5531 Ph: (410) 543-7181 | Stacey Renee Walker, LGSW 200 E Vine St, Salisbury, MD 21804-5531 Ph: (410) 543-7181 |
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