Stacy Antoinette Jefferson, MD in Hazelwood, MO

Stacy Antoinette Jefferson, MD is a medicare enrolled "Family Medicine" physician in Hazelwood, Missouri. She went to Southern Illinois University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mercy Clinic East Communities and her current practice location is 801 Hazelwest Dr, Hazelwood, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 919-2700.

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
	801 Hazelwest Dr, Hazelwood, MO 63042-1754
	(314) 919-2700
	Not Available

Map and Direction

Physician's Profile

Full Name	Stacy Antoinette Jefferson
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	801 Hazelwest Dr, Hazelwood, 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: 12/02/2021

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	125065259 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	125065259 (Illinois)	Secondary
207Q00000X	Family Medicine	2017018156 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital St Louis	Saint louis, MO	Hospital
Ssm Depaul Health Center	Bridgeton, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic East Communities	7214827922	491

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	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006

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 801 Hazelwest Dr, Hazelwood, MO 63042-1754 Ph: (314) 919-2700	Stacy Antoinette Jefferson, MD 801 Hazelwest Dr, Hazelwood, MO 63042-1754 Ph: (314) 919-2700

Reviews and Comments

Family Medicine Doctors in Hazelwood, MO

David Howell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5960 Howdershell Rd Ste 106, Hazelwood, MO 63042 Phone: 314-731-3300
Shawn Khosla, Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Dunn Rd Ste 102a, Hazelwood, MO 63042 Phone: 314-831-0086
Artan Markollari, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Hazelwest Dr, Hazelwood, MO 63042 Phone: 314-919-2700 Fax: 314-919-2777
Dr. Kwabena Owusu Dekyi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7451a N Lindbergh Blvd, Hazelwood, MO 63042 Phone: 314-921-2950 Fax: 314-921-2943
Lavert Morrow, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7451a N Lindbergh Blvd, Hazelwood, MO 63042 Phone: 314-921-2950 Fax: 314-921-2943
Dr. Melissa Ann Bean, DO, MBA, MPH, FACOEM Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5757 Phantom Dr, Suite 400, Hazelwood, MO 63042 Phone: 314-513-9404 Fax: 314-513-9515
Terrell J. Mulford, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Hazelwest Dr, Hazelwood, MO 63042 Phone: 314-919-2700 Fax: 314-919-2777

Stacy Antoinette Jefferson, MD - Medicare Family Practice in Hazelwood, MO