Stacy L Harbin, MD is a medicare enrolled "Surgery" physician in Port St Joe, Florida. His current practice location is
3871 E Highway 98 Ste 200, Port St Joe, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 229-5833.
Stacy L Harbin is licensed to practice in Florida (license number ME108578) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275639254.
Physician's Profile
| Full Name | Stacy L Harbin |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 3871 E Highway 98 Ste 200, Port St Joe, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275639254
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 07/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264326529
- Enrollment ID: I20110216000116
Medical Identifiers
Medical identifiers for Stacy L Harbin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275639254 | NPI | - | NPPES |
| 000000329454 | Other | | BCBS PROVIDER NUMBER |
| 31761 | Other | KY | LICENSE |
| 64317613 | Medicaid | KY | |
| ME108578 | Other | | FLORDIA MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 31761 (Kentucky) | Secondary |
| 208600000X | Surgery | ME108578 (Florida) | Primary |
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 L Harbin allows following entities to bill medicare on his behalf.
| Entity Name | Ascension Sacred Heart Gulf |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528336302 PECOS PAC ID: 9830231034 Enrollment ID: O20120302000494 |
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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 L Harbin 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 L Harbin, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: () - | Stacy L Harbin, MD 3871 E Highway 98 Ste 200, Port St Joe, FL 32456-5302 Ph: (850) 229-5833 |
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