Stacy Thornley, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Prescott, Arizona. She graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Comprehensive Interventional Care Centers Pllc and her current practice location is
743 Miller Valley Rd, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 777-9600.
Stacy Thornley is licensed to practice in Arizona (license number 317682) 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 1477379121.
Physician's Profile
| Full Name | Stacy Thornley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 743 Miller Valley Rd, Prescott, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacy Thornley graduated from medical school in 2024
NPI Data:
- NPI Number: 1477379121
- Provider Enumeration Date: 11/26/2024
- Last Update Date: 06/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062934896
- Enrollment ID: I20250320002610
Medical Identifiers
Medical identifiers for Stacy Thornley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477379121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0204X | Radiology - Vascular & Interventional Radiology | 317682 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 317682 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Comprehensive Interventional Care Centers Pllc | 7810125267 | 9 |
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 Thornley allows following entities to bill medicare on her behalf.
| Entity Name | Comprehensive Interventional Care Centers Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568803047
PECOS PAC ID: 7810125267
Enrollment ID: O20140111000030 |
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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 Thornley 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 |
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Stacy Thornley, FNP
743 Miller Valley Rd,
Prescott, AZ 86301-1813
Ph: (928) 777-9600 | Stacy Thornley, FNP
743 Miller Valley Rd,
Prescott, AZ 86301-1813
Ph: (928) 777-9600 |
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