Dr Stacey Willingham, MD - Medicare Physical Medicine & Rehabilitation in Kennesaw, GA

Dr Stacey Willingham, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Kennesaw, Georgia. Her current practice location is 2774 N. Cobb Pkwy., Suite 109, #133, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 964-1474.

Dr Stacey Willingham is licensed to practice in Georgia (license number 041426) 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 1144485293.

Contact Information

Dr Stacey Willingham, MD
2774 N. Cobb Pkwy., Suite 109, #133,
Kennesaw, GA 30152-3334
(404) 964-1474
Not Available

Map and Direction




Physician's Profile

Full NameDr Stacey Willingham
GenderFemale
SpecialityPhysical Medicine & Rehabilitation
Location2774 N. Cobb Pkwy., Kennesaw, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144485293
  • Provider Enumeration Date: 07/28/2008
  • Last Update Date: 03/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3779626577
  • Enrollment ID: I20100202000467

Medical Identifiers

Medical identifiers for Dr Stacey Willingham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144485293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 041426 (Georgia)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. Dr Stacey Willingham allows following entities to bill medicare on her behalf.
Entity NameChronic Pain Clinics Of America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417054669
PECOS PAC ID: 2466406087
Enrollment ID: O20050308000118
Entity NameDana Health And Wellness Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023421914
PECOS PAC ID: 5890917298
Enrollment ID: O20141120000605

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 Willingham 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 Willingham, MD
2774 N Cobb Pkwy, Suite 109, #133,
Kennesaw, GA 30152-3469

Ph: () -
Dr Stacey Willingham, MD
2774 N. Cobb Pkwy., Suite 109, #133,
Kennesaw, GA 30152-3334

Ph: (404) 964-1474

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Kennesaw, GA

Mrs. Jamie Townsend Young, ATC
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 1275 Shiloh Rd Nw Ste 2031, Kennesaw, GA 30144
Phone: 678-607-7325    
Michele T. Perez, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 270 Chastain Rd Nw, Kennesaw, GA 30144
Phone: 770-421-8005    Fax: 770-424-5662
John Palmer Lanier, M.D.
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 1600 Kennesaw Due West Rd Nw, Suite 501, Kennesaw, GA 30152
Phone: 770-429-5555    Fax: 770-429-5586
Amy Prall,
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 590 Cobb Ave Nw # 0201, Kennesaw, GA 30144
Phone: 470-578-6487    
Dr. Sonny Sandeep Singh Dosanjh, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 2911 George Busbee Pkwy Nw, Suite 50, Kennesaw, GA 30144
Phone: 844-328-4624    Fax: 770-882-2576

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.