Stacey Dimitt, MD in Grants, NM - Medicare Family Practice

Stacey Dimitt, MD is a medicare enrolled "Family Medicine" physician in Grants, New Mexico. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cibola General Hospital Corporation and her current practice location is 1423 E Roosevelt Ave, Grants, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 287-6500.

Stacey Dimitt is licensed to practice in Kansas (license number 7613) 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 1508151978.

Contact Information

	Stacey Dimitt, MD
	1423 E Roosevelt Ave, Grants, NM 87020-2245
	(505) 287-6500
	(505) 287-5393

Map and Direction

Physician's Profile

Full Name	Stacey Dimitt
Gender	Female
Speciality	Family Practice
Experience	13 Years
Location	1423 E Roosevelt Ave, Grants, New Mexico
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 Dimitt attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2011

NPI Data:

NPI Number: 1508151978
Provider Enumeration Date: 06/14/2011
Last Update Date: 09/02/2020

Medicare PECOS Information:

PECOS PAC ID: 4486803491
Enrollment ID: I20190226003342

Medical Identifiers

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

Identifier	Type	State	Issuer
1508151978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	7613 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cibola General Hospital	Grants, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cibola General Hospital Corporation	7113935891	41

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 Dimitt allows following entities to bill medicare on her behalf.

Entity Name	Cibola General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780677039 PECOS PAC ID: 7113935891 Enrollment ID: O20060323000127

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 Dimitt 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 Dimitt, MD 1423 E Roosevelt Ave, Grants, NM 87020-2245 Ph: (505) 287-6500	Stacey Dimitt, MD 1423 E Roosevelt Ave, Grants, NM 87020-2245 Ph: (505) 287-6500

Reviews and Comments

Family Medicine Doctors in Grants, NM

Dr. Ann Edmunds Heath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1217 Bonita St, Grants, NM 87020 Phone: 505-287-2950 Fax: 505-287-2403
Shelly Kristine Campbell, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2111 N. Lobo Canyon Rd., Grants, NM 87020 Phone: 505-876-8360
Arnold W Valdivia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1208 Bonita St, Grants, NM 87020 Phone: 505-287-4474
Donna Deming, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 60006 Cantina Acres, Grants, NM 87020 Phone: 505-285-4529
Dr. Patricia Magdalena Rocha, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1423 E Roosevelt Avenue, Grants, NM 87020 Phone: 505-287-6500 Fax: 505-287-9053
Dr. Alfredo Nevarez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 E Roosevelt Ave, Grants, NM 87020 Phone: 505-287-4446 Fax: 505-287-5343

Stacey Dimitt, MD - Medicare Family Practice in Grants, NM