| Jerusha Stacey, NP-P/MH | |
|
212 Grady St, Thomasville, GA 31792-6123 | |
| (229) 225-4370 | |
| (229) 225-4374 |
| Full Name | Jerusha Stacey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 43 Years |
| Location | 212 Grady St, Thomasville, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114512746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN069963 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Pines Community Service Board | 5799772844 | 13 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerusha Stacey, NP-P/MH Po Box 624, Ochlocknee, GA 31773-0624 Ph: (229) 200-5916 | Jerusha Stacey, NP-P/MH 212 Grady St, Thomasville, GA 31792-6123 Ph: (229) 225-4370 |
Mrs. Melanie Jai Balfour, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 S Madison St, Thomasville, GA 31792 Phone: 229-236-0831 Fax: 229-236-0871 |
Mrs. Courtnay Kelly Perryman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1102 Smith Ave Ste K, Thomasville, GA 31792 Phone: 229-225-4335 |
Ms. Allen R Lybrook, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-226-5788 Fax: 229-226-2548 |
Mrs. Patrice Gunter Bullock, MSN, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Circle Dr, Thomasville, GA 31792 Phone: 229-225-9830 |
Mary Racheal Havens, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 454 Smith Ave, Thomasville, GA 31792 Phone: 229-227-5510 |
Kristin F Deutsch, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Mimosa Dr, Thomasville, GA 31792 Phone: 229-227-0045 Fax: 229-227-9120 |
Cecilie Cowie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-0125 Fax: 229-226-0195 |