| Joanna Stacey, MD | |
|
2401 S 31st St, Temple, TX 76508-4404 | |
| (254) 724-2111 | |
| (254) 724-7603 |
| Full Name | Joanna Stacey |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 26 Years |
| Location | 2401 S 31st St, Temple, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093781569 | NPI | - | NPPES |
| 010079128 | Medicaid | VA | |
| 010079136 | Medicaid | VA | |
| 1093781569 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | N1904 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna Stacey, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Joanna Stacey, MD 2401 S 31st St, Temple, TX 76508-4404 Ph: (254) 724-2111 |
Aleigha Ann Delukie, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Brian E Monks, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Steven R. Allen, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Patricia J. Sulak, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Russell Eugene Fothergill, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1713 Sw H K Dodgen Loop Ste 100, Temple, TX 76502 Phone: 254-771-8100 Fax: 254-771-8101 | |
Dr. Timothy Chad Mccormick, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Thomas John Wincek, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |