Stacey Peckham Lievense, MD in Pawtucket, RI - Medicare Obstetrics/gynecology

Stacey Peckham Lievense, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Pawtucket, Rhode Island. She went to Perelman School Of Med At The University Of Pennsylvania and graduated in 2003 and has 21 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Southern New England Healthcare For Women, Llc and her current practice location is 333 School St, Suite 200, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 724-0600.

Stacey Peckham Lievense is licensed to practice in Rhode Island (license number MD12440) 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 1558551986.

Contact Information

	Stacey Peckham Lievense, MD
	333 School St, Suite 200, Pawtucket, RI 02860-5334
	(401) 724-0600
	(401) 724-8306

Map and Direction

Physician's Profile

Full Name	Stacey Peckham Lievense
Gender	Female
Speciality	Obstetrics/gynecology
Experience	21 Years
Location	333 School St, Pawtucket, Rhode Island
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 Peckham Lievense attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 2003

NPI Data:

NPI Number: 1558551986
Provider Enumeration Date: 08/01/2007
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 6608950464
Enrollment ID: I20080303000833

Medical Identifiers

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

Identifier	Type	State	Issuer
1558551986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD12440 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Women & Infants Hospital Of Rhode Island	Providence, RI	Hospital
Rhode Island Hospital	Providence, RI	Hospital
The Miriam Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern New England Healthcare For Women, Llc	0042486649	32

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 Peckham Lievense allows following entities to bill medicare on her behalf.

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

Entity Name	Southern New England Healthcare For Women, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699058826 PECOS PAC ID: 0042486649 Enrollment ID: O20120103000614

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 Peckham Lievense 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 Peckham Lievense, MD 333 School St, Suite 200, Pawtucket, RI 02860-5334 Ph: (401) 724-0600	Stacey Peckham Lievense, MD 333 School St, Suite 200, Pawtucket, RI 02860-5334 Ph: (401) 724-0600

Reviews and Comments

Obstetrics & Gynecology Doctors in Pawtucket, RI

Carroll A Medeiros, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 333 School St Ste 205, Pawtucket, RI 02860 Phone: 401-724-0600 Fax: 401-724-1147
Dr. Tolga N Kokturk, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 333 School St, Ste 200, Pawtucket, RI 02860 Phone: 401-724-0600 Fax: 401-724-8306
Dr. Lisa R Domagalski, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 333 School Street, Suite 205, Pawtucket, RI 02860 Phone: 401-724-0600 Fax: 401-724-8306
Dr. Jeffrey Jackson Hunter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21 Division St, Pawtucket, RI 02860 Phone: 401-727-4800 Fax: 401-921-6924
Pablo Rodriguez, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 407 East Ave, Suite 150, Pawtucket, RI 02860 Phone: 401-727-4800 Fax: 401-728-4437
Robert Williams, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 407 East Ave, Suite 150, Pawtucket, RI 02860 Phone: 401-727-4800 Fax: 401-728-4437
Dr. Cynthia M Hanna, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 333 School Street, Suite 200, Pawtucket, RI 02860 Phone: 401-724-0600 Fax: 401-724-8306

Stacey Peckham Lievense, MD - Medicare Obstetrics/gynecology in Pawtucket, RI