Amy Lorraine Stacy, MS, RD, CDN - Medicare Dietitian in Brockport, NY

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Amy Lorraine Stacy, MS, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Brockport, New York. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice The Unity Hospital Of Rochester and her current practice location is 156 West Ave, Brockport, New York. You can reach out to her office (for appointments etc.) via phone at (585) 395-6095.

Amy Lorraine Stacy is licensed to practice in New York (license number 000777-1) 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 1053539023.

Contact Information

Amy Lorraine Stacy, MS, RD, CDN
156 West Ave,
Brockport, NY 14420-1229
(585) 395-6095
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAmy Lorraine Stacy
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience35 Years
Location156 West Ave, Brockport, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amy Lorraine Stacy graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1053539023
  • Provider Enumeration Date: 04/23/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8729128707
  • Enrollment ID: I20091223000256

Medical Identifiers

Medical identifiers for Amy Lorraine Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053539023NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 000777-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Unity Hospital Of Rochester9436060969517

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. Amy Lorraine Stacy allows following entities to bill medicare on her behalf.
Provider NameThe Unity Hospital Of Rochester
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1760421713
PECOS PAC ID: 9436060969
Enrollment ID: O20031230000038

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. Amy Lorraine Stacy 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 AddressPractice Location Address
Amy Lorraine Stacy, MS, RD, CDN
7434 Maple Ave,
Bergen, NY 14416-9404

Ph: (585) 494-1505		Amy Lorraine Stacy, MS, RD, CDN
156 West Ave,
Brockport, NY 14420-1229

Ph: (585) 395-6095

Reviews and Comments


Dietitian, Registered in Brockport, NY

Mara Lynne Trojanski, RD,CDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 300 West Ave, Brockport, NY 14420
Phone: 585-637-3905    Fax: 585-637-4990
Jessica Marie Brightly, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 108 Brook Meadows Trl, Brockport, NY 14420
Phone: 585-281-1741    
Erin Elisabeth Goodrich, RDN, CDE
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 300 West Ave, Brockport, NY 14420
Phone: 585-637-3905    Fax: 585-637-4990

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.