Elive M Stanly, in Washington, DC - Medicare Nurse Practitioner

Elive M Stanly, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Washington, District Of Columbia. His current practice location is 2703 Fort Baker Dr Se Apt 1, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (240) 244-4863.

Elive M Stanly is licensed to practice in District Of Columbia (license number CN221201831) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730998782.

Contact Information

	Elive M Stanly,
	2703 Fort Baker Dr Se Apt 1, Washington, DC 20020-7274
	(240) 244-4863
	(443) 513-2664

Map and Direction

Provider's Profile

Full Name	Elive M Stanly
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2703 Fort Baker Dr Se Apt 1, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730998782
Provider Enumeration Date: 01/04/2025
Last Update Date: 05/06/2025

Medicare PECOS Information:

PECOS PAC ID: 3173033503
Enrollment ID: I20250605003424

Medical Identifiers

Medical identifiers for Elive M Stanly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730998782	NPI	-	NPPES
010192714	Medicaid	DC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0807X	Registered Nurse - Psychiatric/mental Health, Child & Adolescent	966854 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	CN221201831 (District Of Columbia)	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. Elive M Stanly allows following entities to bill medicare on his behalf.

Entity Name	Nams Behavioral Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609677327 PECOS PAC ID: 5092225425 Enrollment ID: O20250605003317

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. Elive M Stanly 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
Elive M Stanly, 9950 W Indian School Rd Unit 8, Phoenix, AZ 85037-5912 Ph: (443) 527-1423	Elive M Stanly, 2703 Fort Baker Dr Se Apt 1, Washington, DC 20020-7274 Ph: (240) 244-4863

Reviews and Comments

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Elive M Stanly, - Medicare Nurse Practitioner in Washington, DC