Mrs Stacy Yvonne Marlin, PMHNP--BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Garland, Texas. Her current practice location is
306 Glen Canyon Dr, Garland, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 548-2617.
Mrs Stacy Yvonne Marlin is licensed to practice in Texas (license number 1179148) 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 1376379529.
Physician's Profile
Full Name | Mrs Stacy Yvonne Marlin |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 306 Glen Canyon Dr, Garland, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376379529
- Provider Enumeration Date: 09/12/2024
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294253456
- Enrollment ID: I20250520004794
Medical Identifiers
Medical identifiers for Mrs Stacy Yvonne Marlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376379529 | NPI | - | NPPES |
2024058583 | Other | | ANCC |
1179148 | Other | TX | APRN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 2024058583 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1179148 (Texas) | 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. Mrs Stacy Yvonne Marlin allows following entities to bill medicare on her behalf.
Entity Name | Psychiatry Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013476027 PECOS PAC ID: 0345573598 Enrollment ID: O20190604000738 |
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Entity Name | Psychplus Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558118026 PECOS PAC ID: 2668813460 Enrollment ID: O20240510001368 |
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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. Mrs Stacy Yvonne Marlin 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 Address | Practice Location Address |
Mrs Stacy Yvonne Marlin, PMHNP--BC 306 Glen Canyon Dr, Garland, TX 75040-0920 Ph: (254) 548-2617 | Mrs Stacy Yvonne Marlin, PMHNP--BC 306 Glen Canyon Dr, Garland, TX 75040-0920 Ph: (254) 548-2617 |
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