Elise Marie Stavish, DNP, CRNP, FNP-C in Scranton, PA

Elise Marie Stavish, DNP, CRNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Scranton, Pennsylvania. Her current practice location is 959 Wyoming Ave, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 344-9684.

Elise Marie Stavish is licensed to practice in Pennsylvania (license number SP024223) 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 1740956044.

Contact Information

	Elise Marie Stavish, DNP, CRNP, FNP-C
	959 Wyoming Ave, Scranton, PA 18509-3023
	(570) 344-9684
	(570) 504-0612

Map and Direction

Provider's Profile

Full Name	Elise Marie Stavish
Gender	Female
Speciality	Nurse Practitioner - Family
Location	959 Wyoming Ave, Scranton, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740956044
Provider Enumeration Date: 08/18/2021
Last Update Date: 05/05/2025

Medicare PECOS Information:

PECOS PAC ID: 6002208071
Enrollment ID: I20220125001315

Medical Identifiers

Medical identifiers for Elise Marie Stavish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740956044	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP024223 (Pennsylvania)	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. Elise Marie Stavish allows following entities to bill medicare on her behalf.

Entity Name	Scranton Primary Health Care Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801871579 PECOS PAC ID: 0941206650 Enrollment ID: O20061019000363

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. Elise Marie Stavish 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
Elise Marie Stavish, DNP, CRNP, FNP-C 959 Wyoming Ave, Scranton, PA 18509-3023 Ph: (570) 954-6968	Elise Marie Stavish, DNP, CRNP, FNP-C 959 Wyoming Ave, Scranton, PA 18509-3023 Ph: (570) 344-9684

Reviews and Comments

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Elise Marie Stavish, DNP, CRNP, FNP-C - Medicare Nurse Practitioner in Scranton, PA