Dr Stacey Renee Gouzenne, MD - Medicare Emergency Medicine in Charlotte, NC

  1. Home
  2. Emergency Medicine
  3. NC
  4. Charlotte
Dr Stacey Renee Gouzenne, MD is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. Her current practice location is 4221 Tuckaseegee Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 806-9865.

Dr Stacey Renee Gouzenne is licensed to practice in North Carolina (license number 9500917) 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 1588616569.

Contact Information

Dr Stacey Renee Gouzenne, MD
4221 Tuckaseegee Rd,
Charlotte, NC 28208-2801
(704) 806-9865
Not Available

Map and Direction




Physician's Profile

Full NameDr Stacey Renee Gouzenne
GenderFemale
SpecialityEmergency Medicine
Location4221 Tuckaseegee Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588616569
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 11/09/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1951360718
  • Enrollment ID: I20041007000166

Medical Identifiers

Medical identifiers for Dr Stacey Renee Gouzenne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588616569NPI-NPPES
36407OtherNCBLUE CROSS
8936407MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 9500917 (North Carolina)Primary
207P00000XEmergency Medicine 23329 (South Carolina)Secondary

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. Dr Stacey Renee Gouzenne allows following entities to bill medicare on her behalf.
Entity NameFastmed Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225331903
PECOS PAC ID: 9133301989
Enrollment ID: O20110315000818

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 Stacey Renee Gouzenne 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 Stacey Renee Gouzenne, MD
721 Corinthian Pl,
Charlotte, NC 28211-2471

Ph: (704) 806-9865		Dr Stacey Renee Gouzenne, MD
4221 Tuckaseegee Rd,
Charlotte, NC 28208-2801

Ph: (704) 806-9865

Reviews and Comments


Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3658    
Jacob Leedekerken,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    
Neha Ray, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047
John B Clark Jr., M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207
Phone: 704-377-2424    Fax: 704-377-2687
Nilesh K. Patel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2171    
Michael Stephen Merrill, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211
Phone: 704-377-2424    Fax: 704-377-2687
Brian Zachary Hedges, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047

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.