Ms Stacy Katherine Tucker, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Altamonte Springs, Florida. Her current practice location is
661 E Altamonte Dr Ste 318, Altamonte Springs, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 303-5204.
Ms Stacy Katherine Tucker is licensed to practice in Florida (license number 11025853) 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 1255875472.
Physician's Profile
| Full Name | Ms Stacy Katherine Tucker |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 661 E Altamonte Dr Ste 318, Altamonte Springs, Florida |
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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: 1255875472
- Provider Enumeration Date: 12/07/2016
- Last Update Date: 07/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698059624
- Enrollment ID: I20180126000963
Medical Identifiers
Medical identifiers for Ms Stacy Katherine Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255875472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | APRN11025853 (Florida) | Secondary |
| 367A00000X | Advanced Practice Midwife | 09000282A (Indiana) | Secondary |
| 367A00000X | Advanced Practice Midwife | 4704338854 (Michigan) | Secondary |
| 367A00000X | Advanced Practice Midwife | 11025853 (Florida) | 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. Ms Stacy Katherine Tucker allows following entities to bill medicare on her behalf.
| Entity Name | Intercare Community Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150 |
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| Entity Name | Lakeland Medical Practices |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
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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. Ms Stacy Katherine Tucker 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 |
Ms Stacy Katherine Tucker, CNM 661 E Altamonte Dr Ste 318, Altamonte Springs, FL 32701-5103 Ph: (407) 303-5204 | Ms Stacy Katherine Tucker, CNM 661 E Altamonte Dr Ste 318, Altamonte Springs, FL 32701-5103 Ph: (407) 303-5204 |
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