Stacey B Fazenbaker, M D in Madisonville, KY

Stacey B Fazenbaker, M D is a medicare enrolled "Family Medicine" physician in Madisonville, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Kentucky Orthopedic Rehabilitation Llc, Owensboro Health, Inc, Owensboro Health Medical Group Inc and her current practice location is 444 S Main St, Madisonville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 821-4444.

Stacey B Fazenbaker is licensed to practice in Kentucky (license number 35999) 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 1487615787.

Contact Information

	Stacey B Fazenbaker, M D
	444 S Main St, Madisonville, KY 42431-2846
	(270) 821-4444
	Not Available

Map and Direction

Physician's Profile

Full Name	Stacey B Fazenbaker
Gender	Female
Speciality	Family Practice
Experience	27 Years
Location	444 S Main St, Madisonville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey B Fazenbaker attended and graduated from University Of Louisville School Of Medicine in 1999

NPI Data:

NPI Number: 1487615787
Provider Enumeration Date: 03/28/2006
Last Update Date: 12/10/2025

Medicare PECOS Information:

PECOS PAC ID: 1355376955
Enrollment ID: I20051003000566

Medical Identifiers

Medical identifiers for Stacey B Fazenbaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487615787	NPI	-	NPPES
6402415100	Medicaid	KY
7570	Other	KY	COMMONWEALTH BIOMEDICAL RESEARCH GROUP PTAN
35999	Other	KY	KY MEDICAL LICENSE NUMBER
000000811728	Other	KY	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35999 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Owensboro Health Regional Hospital	Owensboro, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kentucky Orthopedic Rehabilitation Llc	0345157293	680
Owensboro Health, Inc	0547154650	128
Owensboro Health Medical Group Inc	0648255034	435

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. Stacey B Fazenbaker allows following entities to bill medicare on her behalf.

Entity Name	Owensboro Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818

Entity Name	Summit Medical Specialists P.s.c
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861928228 PECOS PAC ID: 6507134012 Enrollment ID: O20170623001663

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. Stacey B Fazenbaker 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
Stacey B Fazenbaker, M D Po Box 3276, Evansville, IN 47731-3276 Ph: (812) 473-0181	Stacey B Fazenbaker, M D 444 S Main St, Madisonville, KY 42431-2846 Ph: (270) 821-4444

Reviews and Comments

Family Medicine Doctors in Madisonville, KY

Kristin Wickham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200
Robert G. Holzknecht, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 S Main St, Madisonville, KY 42431 Phone: 270-821-4444 Fax: 270-821-9188
Richard G King, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200
Catherine S Montz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5646 Fax: 270-825-5648
Michael Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Madison Square Dr Ste C, Madisonville, KY 42431 Phone: 270-821-6262
Robert Lamont Wood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266
Marium Iqbal, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266

Stacey B Fazenbaker, M D - Medicare Family Practice in Madisonville, KY