Brandi L Stacy, APRN - Medicare Nurse Practitioner in Hickman, KY

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Brandi L Stacy, APRN is a medicare enrolled "Nurse Practitioner" in Hickman, Kentucky. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pinelake Physician Practice Llc and her current practice location is 2003 S 7th St, Hickman, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 236-3337.

Brandi L Stacy is licensed to practice in Kentucky (license number 3007706) 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 1760722144.

Contact Information

Brandi L Stacy, APRN
2003 S 7th St,
Hickman, KY 42050-1841
(270) 236-3337
(270) 236-3340

Map and Direction




Provider's Profile

Full NameBrandi L Stacy
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location2003 S 7th St, Hickman, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandi L Stacy graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1760722144
  • Provider Enumeration Date: 02/22/2013
  • Last Update Date: 06/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8022253921
  • Enrollment ID: I20130325000529

Medical Identifiers

Medical identifiers for Brandi L Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760722144NPI-NPPES
7100237310MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3007706 (Kentucky)Secondary
363L00000XNurse Practitioner 3007706 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson Purchase Medical CenterMayfield, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pinelake Physician Practice Llc680079750738

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. Brandi L Stacy allows following entities to bill medicare on her behalf.
Entity NamePinelake Physician Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295960532
PECOS PAC ID: 6800797507
Enrollment ID: O20040115001094
Entity NameVitae Health Medical Kentucky, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629600879
PECOS PAC ID: 3173952637
Enrollment ID: O20200403001181
Entity NameMercy Health Physicians Kentucky Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700408093
PECOS PAC ID: 1456777069
Enrollment ID: O20200813001096

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. Brandi L 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
Brandi L Stacy, APRN
330 Seven Springs Way,
Brentwood, TN 37027-5098

Ph: (615) 920-7000		Brandi L Stacy, APRN
2003 S 7th St,
Hickman, KY 42050-1841

Ph: (270) 236-3337

Reviews and Comments


Nurse Practitioner Nurses in Hickman, KY

Allie Alexander-lusk, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2003 S 7th St, Hickman, KY 42050
Phone: 270-236-3337    Fax: 270-236-3340

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.