Ms Stacy Katherine Tucker, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Altamonte Springs, Florida. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Florida Hospital Medical Group Inc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 | Certified Nurse Midwife (cnm) |
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| Experience | 10 Years |
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| Location | 661 E Altamonte Dr Ste 318, Altamonte Springs, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Stacy Katherine Tucker graduated from medical school in 2016
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: I20230721001577
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 |
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| 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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Florida Hospital Medical Group Inc | 0749186153 | 1692 |
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 | Florida Hospital Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807 |
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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 |
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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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