Madisen Tayler Stacks, - Medicare Nurse Practitioner in Lake Dallas, TX

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Madisen Tayler Stacks, is a medicare enrolled "Nurse Practitioner - Family" in Lake Dallas, Texas. Her current practice location is 503 Main St Ste C, Lake Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (940) 535-5296.

Madisen Tayler Stacks is licensed to practice in Texas (license number 1029434) 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 1063004158.

Contact Information

Madisen Tayler Stacks,
503 Main St Ste C,
Lake Dallas, TX 75065-2878
(940) 535-5296
Not Available

Map and Direction




Provider's Profile

Full NameMadisen Tayler Stacks
GenderFemale
SpecialityNurse Practitioner - Family
Location503 Main St Ste C, Lake Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063004158
  • Provider Enumeration Date: 02/09/2021
  • Last Update Date: 08/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456757384
  • Enrollment ID: I20210901001351

Medical Identifiers

Medical identifiers for Madisen Tayler Stacks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063004158NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1029434 (Texas)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. Madisen Tayler Stacks allows following entities to bill medicare on her behalf.
Entity NameLake Dallas Family Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871158907
PECOS PAC ID: 3274863394
Enrollment ID: O20191002001957

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. Madisen Tayler Stacks 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 AddressPractice Location Address
Madisen Tayler Stacks,
503 Main St Ste C,
Lake Dallas, TX 75065-2878

Ph: (832) 367-8843		Madisen Tayler Stacks,
503 Main St Ste C,
Lake Dallas, TX 75065-2878

Ph: (940) 535-5296

Reviews and Comments


Nurse Practitioner Nurses in Lake Dallas, TX

Ms. Carmen Phillips White, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 503 Main St Ste C, Lake Dallas, TX 75065
Phone: 940-535-5296    Fax: 972-535-5297

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.