Stacey Hitesman, RD, CNSD - Medicare Dietitian in Flagstaff, AZ

Stacey Hitesman, RD, CNSD is a medicare enrolled "Dietitian, Registered" provider in Flagstaff, Arizona. Her current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 773-2556.

Stacey Hitesman is licensed to practice in * (Not Available) (license number ) 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 1720270564.

Contact Information

Stacey Hitesman, RD, CNSD
1200 N Beaver St,
Flagstaff, AZ 86001-3118
(928) 773-2556
(928) 773-2421

Map and Direction




Healthcare Provider's Profile

Full NameStacey Hitesman
GenderFemale
SpecialityDietitian, Registered
Location1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720270564
  • Provider Enumeration Date: 08/15/2007
  • Last Update Date: 03/14/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7810080728
  • Enrollment ID: I20070910000298

Medical Identifiers

Medical identifiers for Stacey Hitesman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720270564NPI-NPPES
163244MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))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 Hitesman allows following entities to bill medicare on her behalf.
Provider NameFlagstaff Medical Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780635078
PECOS PAC ID: 2769392554
Enrollment ID: O20031230000199
Provider NameNorthern Arizona Healthcare Corporation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1669914552
PECOS PAC ID: 3577473362
Enrollment ID: O20170801003409

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 Hitesman 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
Stacey Hitesman, RD, CNSD
1200 N Beaver St, Payer Credentialing,
Flagstaff, AZ 86001-3118

Ph: (928) 213-6235
Stacey Hitesman, RD, CNSD
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (928) 773-2556

Reviews and Comments


Dietitian, Registered in Flagstaff, AZ

Tanya Lee Morgan Tweed, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-773-2441    
Ms. Gayle Marie Baingo, R.D.N
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1210 W Davis Way, Flagstaff, AZ 86001
Phone: 928-380-1610    Fax: 928-380-1610
Ms. Robin A Aufdenkampe, MS,RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1200 N Beaver St, Flagstaff Medical Center, Flagstaff, AZ 86001
Phone: 928-779-3366    
Lorraine Damiani Crim, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 718 W Grand Canyon Ave, Flagstaff, AZ 86001
Phone: 928-853-3568    
Angela Hansen, RD, IBCLC
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 1215 N Beaver St, Flagstaff, AZ 86001
Phone: 928-773-2200    Fax: 928-773-2300
Heidi Bringhurst,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-606-3916    
Brittany Dilley, RDN, CNSC
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001
Phone: 928-773-2084    

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.