Mrs Stacey Lasandra Mitchell, NP - Medicare Nurse Practitioner in Fayetteville, GA

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Mrs Stacey Lasandra Mitchell, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fayetteville, Georgia. Her current practice location is 1255 Highway 54 W, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 464-8134.

Mrs Stacey Lasandra Mitchell is licensed to practice in Georgia (license number 203475) 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 1245794387.

Contact Information

Mrs Stacey Lasandra Mitchell, NP
1255 Highway 54 W,
Fayetteville, GA 30214-4526
(478) 464-8134
Not Available

Map and Direction




Provider's Profile

Full NameMrs Stacey Lasandra Mitchell
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1255 Highway 54 W, Fayetteville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245794387
  • Provider Enumeration Date: 01/23/2019
  • Last Update Date: 07/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456786912
  • Enrollment ID: I20200111000041

Medical Identifiers

Medical identifiers for Mrs Stacey Lasandra Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245794387NPI-NPPES
1245794387OtherGANPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 403153 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 203475 (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. Mrs Stacey Lasandra Mitchell allows following entities to bill medicare on her behalf.
Entity NameColumbus Ambulatory Healthcare Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790733244
PECOS PAC ID: 1355244385
Enrollment ID: O20040128000790
Entity NamePiedmont Hospitalist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548219660
PECOS PAC ID: 1951299163
Enrollment ID: O20040309000820
Entity NamePiedmont Athens Hospitalist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578079000
PECOS PAC ID: 6305196411
Enrollment ID: O20180911003967
Entity NameProfessional Behavioral Health And Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477014413
PECOS PAC ID: 9537495429
Enrollment ID: O20190730004656
Entity NameBeautiful Minds Of Fayetteville, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134704125
PECOS PAC ID: 2365859915
Enrollment ID: O20210325002407

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. Mrs Stacey Lasandra Mitchell 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
Mrs Stacey Lasandra Mitchell, NP
1415 Highway 85 N Ste 310-390,
Fayetteville, GA 30214-7738

Ph: () -		Mrs Stacey Lasandra Mitchell, NP
1255 Highway 54 W,
Fayetteville, GA 30214-4526

Ph: (478) 464-8134

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, GA

Ms. Philicia Duncan, NP
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Phone: 770-461-4126    
Brittney Shay Pasko, FNP-C
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Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214
Phone: 770-719-0051    Fax: 770-716-0087
Angela Miller, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-6799    Fax: 770-719-6059
Eleasa Milano, APRN
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Medicare: Medicare Enrolled
Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214
Phone: 808-446-4609    
Erin Dee Smith,
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Medicare: Medicare Enrolled
Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214
Phone: 770-461-1238    
Mrs. Ashley Miller, NP
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Medicare: Medicare Enrolled
Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214
Phone: 678-971-4167    Fax: 833-989-2501
Omolola Otubaga, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214
Phone: 770-703-4448    Fax: 770-703-4038

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.