Stanley R Stacy, DO - Medicare Family Practice in Tulsa, OK

Stanley R Stacy, DO is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Tulsa, Oklahoma. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice My Doctor Immediate Care Llc and his current practice location is 10106 S Sheridan Rd, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 619-9400.

Stanley R Stacy is licensed to practice in Oklahoma (license number 3054) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225018757.

Contact Information

Stanley R Stacy, DO
10106 S Sheridan Rd,
Tulsa, OK 74133-6775
(918) 619-9400
Not Available

Map and Direction




Physician's Profile

Full NameStanley R Stacy
GenderMale
SpecialityFamily Practice
Experience33 Years
Location10106 S Sheridan Rd, Tulsa, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stanley R Stacy graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1225018757
  • Provider Enumeration Date: 01/19/2006
  • Last Update Date: 08/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416861620
  • Enrollment ID: I20090729000243

Medical Identifiers

Medical identifiers for Stanley R Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225018757NPI-NPPES
100096630AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 3054 (Oklahoma)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services 3054 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
My Doctor Immediate Care Llc15575231312

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. Stanley R Stacy allows following entities to bill medicare on his behalf.
Entity NameMy Doctor Immediate Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992440622
PECOS PAC ID: 1557523131
Enrollment ID: O20120426000432
Entity NameMy Doctor Family Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316629868
PECOS PAC ID: 6800241233
Enrollment ID: O20231004003723

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. Stanley R Stacy 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 AddressPractice Location Address
Stanley R Stacy, DO
10106 S Sheridan Rd,
Tulsa, OK 74133-6775

Ph: (918) 230-9164
Stanley R Stacy, DO
10106 S Sheridan Rd,
Tulsa, OK 74133-6775

Ph: (918) 619-9400

Reviews and Comments


Emergency Medicine Doctors in Tulsa, OK

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Eric Brady Woolley, M.D.
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Phone: 918-949-1884    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.