Dr Jack Robert Stacey Iii, MD - Medicare Family Medicine in Solana Beach, CA

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Dr Jack Robert Stacey Iii, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Solana Beach, California. His current practice location is 421 N Highway 101, Solana Beach, California. You can reach out to his office (for appointments etc.) via phone at (858) 330-3737.

Dr Jack Robert Stacey Iii is licensed to practice in California (license number A201262) 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 1700317591.

Contact Information

Dr Jack Robert Stacey Iii, MD
421 N Highway 101,
Solana Beach, CA 92075-1131
(858) 330-3737
(833) 346-0376

Map and Direction




Physician's Profile

Full NameDr Jack Robert Stacey Iii
GenderMale
SpecialityFamily Medicine - Sports Medicine
Location421 N Highway 101, Solana Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700317591
  • Provider Enumeration Date: 03/23/2017
  • Last Update Date: 08/27/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5193153641
  • Enrollment ID: I20260616001453

Medical Identifiers

Medical identifiers for Dr Jack Robert Stacey Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700317591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine A201262 (California)Primary

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. Dr Jack Robert Stacey Iii 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
Dr Jack Robert Stacey Iii, MD
3865 Hibiscus Cir,
Carlsbad, CA 92008-3380

Ph: (321) 278-3667		Dr Jack Robert Stacey Iii, MD
421 N Highway 101,
Solana Beach, CA 92075-1131

Ph: (858) 330-3737

Reviews and Comments


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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.

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