Stacey Mardis, MD - Medicare Emergency Medicine in Elyria, OH

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Stacey Mardis, MD is a medicare enrolled "Emergency Medicine" physician in Elyria, Ohio. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Kernersville Emergency Group, Pllc, Piedmont Triad Physicians Pllc, Tanglewood Park Physicians Pllc and her current practice location is 630 E River St, Department Of Emergency Medicine, Elyria, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 329-7450.

Stacey Mardis is licensed to practice in Ohio (license number 35.121170) 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 1144532730.

Contact Information

Stacey Mardis, MD
630 E River St, Department Of Emergency Medicine,
Elyria, OH 44035-5902
(440) 329-7450
Not Available

Map and Direction




Physician's Profile

Full NameStacey Mardis
GenderFemale
SpecialityEmergency Medicine
Experience15 Years
Location630 E River St, Elyria, Ohio
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 Mardis graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1144532730
  • Provider Enumeration Date: 07/12/2010
  • Last Update Date: 07/01/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3779726559
  • Enrollment ID: I20150618002318

Medical Identifiers

Medical identifiers for Stacey Mardis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144532730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 35.121170 (Ohio)Primary
207Q00000XFamily Medicine 35.121170 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Thomasville Medical CenterThomasville, NCHospital
Novant Health Forsyth Medical CenterWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kernersville Emergency Group, Pllc337588542928
Piedmont Triad Physicians Pllc640619733420
Tanglewood Park Physicians Pllc347689512922

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 Mardis allows following entities to bill medicare on her behalf.
Entity NameNovant Health Thomasville Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033160205
PECOS PAC ID: 5890605224
Enrollment ID: O20031222000916
Entity NameThomasville Emergency Physicans
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548284110
PECOS PAC ID: 9830172444
Enrollment ID: O20040612000215
Entity NameThe Carolinas Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477508836
PECOS PAC ID: 2567486814
Enrollment ID: O20060125000577
Entity NameWestern Carolina Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134391758
PECOS PAC ID: 8921171190
Enrollment ID: O20080721000746
Entity NameNc Emergency Physician Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518374800
PECOS PAC ID: 5890916514
Enrollment ID: O20141022001802
Entity NameVep Rowan Ed Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780089060
PECOS PAC ID: 6800111311
Enrollment ID: O20150204000629
Entity NameYadkin Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417443771
PECOS PAC ID: 3173875127
Enrollment ID: O20181003000297
Entity NameNovant Health Mint Hill Medical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063910404
PECOS PAC ID: 8123374394
Enrollment ID: O20181018000540
Entity NameBrunswick Physician Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457822264
PECOS PAC ID: 2062752470
Enrollment ID: O20190321002645
Entity NamePiedmont Triad Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295206464
PECOS PAC ID: 6406197334
Enrollment ID: O20190403000344
Entity NameKernersville Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750852034
PECOS PAC ID: 3375885429
Enrollment ID: O20190422001205
Entity NameTanglewood Park Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093286379
PECOS PAC ID: 3476895129
Enrollment ID: O20190429001041

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 Mardis 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 Mardis, MD
630 E River St, Department Of Emergency Medicine,
Elyria, OH 44035-5902

Ph: (440) 329-7450		Stacey Mardis, MD
630 E River St, Department Of Emergency Medicine,
Elyria, OH 44035-5902

Ph: (440) 329-7450

Reviews and Comments


Emergency Medicine Doctors in Elyria, OH

Dr. Allan F Starr, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Dr. David P Rickson, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7450    
Dr. Melissa Jane Marker, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Dr. Mussaret Zuberi, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Emergency Department, Elyria, OH 44035
Phone: 440-329-7450    Fax: 440-329-7646
Lara E Marsh, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7450    
Dr. Daniel P Walsh, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    

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.