Stacy Antoinette Jefferson, MD in Saint Charles, MO

Stacy Antoinette Jefferson, MD is a medicare enrolled "Family Medicine" physician in Saint Charles, Missouri. She went to Southern Illinois University School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice American Multispecialty Group Inc and her current practice location is 1475 Kisker Rd Ste 230, Saint Charles, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 939-5000.

Stacy Antoinette Jefferson is licensed to practice in Missouri (license number 2017018156) 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 1720492028.

Contact Information

	Stacy Antoinette Jefferson, MD
	1475 Kisker Rd Ste 230, Saint Charles, MO 63304-8791
	(636) 939-5000
	(636) 939-5002

Map and Direction

Physician's Profile

Full Name	Stacy Antoinette Jefferson
Gender	Female
Speciality	Family Practice
Experience	12 Years
Location	1475 Kisker Rd Ste 230, Saint Charles, Missouri
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:

Stacy Antoinette Jefferson attended and graduated from Southern Illinois University School Of Medicine in 2013

NPI Data:

NPI Number: 1720492028
Provider Enumeration Date: 06/13/2014
Last Update Date: 07/30/2024

Medicare PECOS Information:

PECOS PAC ID: 4082917497
Enrollment ID: I20170822002211

Medical Identifiers

Medical identifiers for Stacy Antoinette Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720492028	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2017018156 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm St Joseph Health Center	Saint charles, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
American Multispecialty Group Inc	1658365572	128

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. Stacy Antoinette Jefferson allows following entities to bill medicare on her behalf.

Entity Name	American Multispecialty Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972559532 PECOS PAC ID: 1658365572 Enrollment ID: O20040413001412

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. Stacy Antoinette Jefferson 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
Stacy Antoinette Jefferson, MD Po Box 419052, Saint Louis, MO 63141-9052 Ph: (314) 851-1000	Stacy Antoinette Jefferson, MD 1475 Kisker Rd Ste 230, Saint Charles, MO 63304-8791 Ph: (636) 939-5000

Reviews and Comments

Family Medicine Doctors in Saint Charles, MO

Dr. Steven B Livingstone, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303 Phone: 636-669-2350
Dr. Eric Nalagan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2125 Bluestone Dr Ste B, Saint Charles, MO 63303 Phone: 636-688-3572 Fax: 888-498-4152
Nicholas Moore, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 Kisker Rd Ste 200, Saint Charles, MO 63304 Phone: 636-498-5810
Dr. Eric Lee Martin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1820 Zumbehl Rd Ste 130a, Saint Charles, MO 63303 Phone: 636-947-2334
Dr. Richard F Vaughn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1475 Kisker Rd, Saint Charles, MO 63304 Phone: 636-498-5850 Fax: 636-669-2401
Elizabeth H Maylack, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1551 Wall St Ste 400, Saint Charles, MO 63303 Phone: 636-669-7006 Fax: 636-669-7008
Dr. Pamela Latarsha Buchanan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1820 Zumbehl Rd, Suite 130-a, Saint Charles, MO 63303 Phone: 636-947-2334 Fax: 636-940-5459

Stacy Antoinette Jefferson, MD - Medicare Family Practice in Saint Charles, MO