Jerusha Stacey, RN in Tallahassee, FL - Medicare Nurse Practitioner

Jerusha Stacey, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tallahassee, Florida. Her current practice location is 112 Ware-rhaney Building 334 Palmer Ave East, Tallahassee, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 599-3017.

Jerusha Stacey is licensed to practice in Georgia (license number RN069963) 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 1114512746.

Contact Information

	Jerusha Stacey, RN
	112 Ware-rhaney Building 334 Palmer Ave East, Tallahassee, FL 32307-0001
	(850) 599-3017
	Not Available

Map and Direction

Provider's Profile

Full Name	Jerusha Stacey
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	112 Ware-rhaney Building 334 Palmer Ave East, Tallahassee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114512746
Provider Enumeration Date: 03/05/2021
Last Update Date: 10/19/2022

Medicare PECOS Information:

PECOS PAC ID: 0941640510
Enrollment ID: I20240430001036

Medical Identifiers

Medical identifiers for Jerusha Stacey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114512746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN069963 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN069963 (Georgia)	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. Jerusha Stacey allows following entities to bill medicare on her behalf.

Entity Name	Georgia Pines Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366506958 PECOS PAC ID: 5799772844 Enrollment ID: O20040429000631

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. Jerusha 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
Jerusha Stacey, RN Po Box 624, Ochlocknee, GA 31773-0624 Ph: () -	Jerusha Stacey, RN 112 Ware-rhaney Building 334 Palmer Ave East, Tallahassee, FL 32307-0001 Ph: (850) 599-3017

Reviews and Comments

Nurse Practitioner Nurses in Tallahassee, FL

Faye Darby Tinson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Gadsden St, Tallahassee, FL 32301 Phone: 850-576-4073 Fax: 850-576-4073
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Mrs. Romanise Mcswain, BSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2009 Miccosukee Rd Ste A, Tallahassee, FL 32308 Phone: 850-942-2299
Mrs. Shara Bryant, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Centerville Rd Ste 300, Tallahassee, FL 32308 Phone: 850-877-5115
Jennifer Oetting, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2406 E Plaza Dr, Tallahassee, FL 32308 Phone: 850-878-5322
Rachel Oliver, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-877-2105
Bianca F Peck, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 438 W Brevard St, Tallahassee, FL 32301 Phone: 850-759-0366 Fax: 833-449-3559

Jerusha Stacey, RN - Medicare Nurse Practitioner in Tallahassee, FL