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

Stacey B Fazenbaker, M D is a medicare enrolled "Family Medicine" physician in Owensboro, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Owensboro Health Medical Group Inc, Summit Medical Specialists P.s.c and her current practice location is 3333 Frederica St Ste 5, Owensboro, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 297-9075.

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
3333 Frederica St Ste 5,
Owensboro, KY 42301-6085
(270) 297-9075
(270) 297-9077

Map and Direction




Physician's Profile

Full NameStacey B Fazenbaker
GenderFemale
SpecialityFamily Practice
Experience25 Years
Location3333 Frederica St Ste 5, Owensboro, Kentucky
Accepts Medicare AssignmentsYes. 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: 03/03/2022
  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.
IdentifierTypeStateIssuer
1487615787NPI-NPPES
6402415100MedicaidKY
7570OtherKYCOMMONWEALTH BIOMEDICAL RESEARCH GROUP PTAN
35999OtherKYKY MEDICAL LICENSE NUMBER
000000811728OtherKYANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35999 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Owensboro Health Regional HospitalOwensboro, KYHospital
Madisonville Health And Rehabilitation, LlcMadisonville, KYNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Owensboro Health Medical Group Inc0648255034358
Summit Medical Specialists P.s.c65071340126

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 NameOwensboro Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235518242
PECOS PAC ID: 0648255034
Enrollment ID: O20040621000818
Entity NameSummit Medical Specialists P.s.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Stacey B Fazenbaker, M D
Po Box 3276,
Evansville, IN 47731-3276

Ph: (812) 473-0181
Stacey B Fazenbaker, M D
3333 Frederica St Ste 5,
Owensboro, KY 42301-6085

Ph: (270) 297-9075

Reviews and Comments


Family Medicine Doctors in Owensboro, KY

Dr. Fred Thomas Tuttle, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4106 Mason Woods Ln, Owensboro, KY 42303
Phone: 270-993-3999    
Dr. Namita R Gopal, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 415 Sutton Ln, Owensboro, KY 42301
Phone: 270-744-9600    Fax: 270-744-0834
James Anthony Holder, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 920 Frederica St, Suite 104, Owensboro, KY 42301
Phone: 270-926-0234    Fax: 270-926-0257
Rajendra P Mahajan, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2060 E Parrish Ave, Owensboro, KY 42303
Phone: 270-684-5034    Fax: 270-685-1873
William S Black, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1006 Ford Ave, Owensboro, KY 42301
Phone: 270-688-2110    Fax: 270-688-2111
Jacqueline Merrill, APRN
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Industrial Dr, Owensboro, KY 42301
Phone: 270-689-6500    
Audry G Rhodes, M.D., M.S., FAAFP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2211 Mayfair Dr, Suite 101, Owensboro, KY 42301
Phone: 270-688-1352    Fax: 270-683-4313

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.