Carrie Jean Gordon-stacey, CNM is a medicare enrolled "Midwife" in Troy, New York. Her current practice location is
2231 Burdett Ave Ste 160, Troy, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 326-1620.
Carrie Jean Gordon-stacey is licensed to practice in New York (license number 001506) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588904320.
Provider's Profile
| Full Name | Carrie Jean Gordon-stacey |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 2231 Burdett Ave Ste 160, Troy, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588904320
- Provider Enumeration Date: 02/14/2013
- Last Update Date: 09/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961781612
- Enrollment ID: I20161121000606
Medical Identifiers
Medical identifiers for Carrie Jean Gordon-stacey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588904320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | FOO1506-1 (New York) | Secondary |
| 176B00000X | Midwife | 001506 (New York) | 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. Carrie Jean Gordon-stacey allows following entities to bill medicare on her behalf.
| Entity Name | Samaritan Hospital Of Troy, New York |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043267727
PECOS PAC ID: 6507770070
Enrollment ID: O20031118000782 |
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| Entity Name | St. Peter's Health Partners Medical Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750626834
PECOS PAC ID: 6103061189
Enrollment ID: O20130321000567 |
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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. Carrie Jean Gordon-stacey 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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Carrie Jean Gordon-stacey, CNM
Po Box 14890,
Albany, NY 12212-4890
Ph: (518) 525-5634 | Carrie Jean Gordon-stacey, CNM
2231 Burdett Ave Ste 160,
Troy, NY 12180-2453
Ph: (518) 326-1620 |
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