Mrs Stacey Lynn Antonucci, CRNP in Washington, PA

Mrs Stacey Lynn Antonucci, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Washington, Pennsylvania. Her current practice location is 90 W Chestnut St, Washington, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 228-7113.

Mrs Stacey Lynn Antonucci is licensed to practice in Pennsylvania (license number SP009961) 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 1518116508.

Contact Information

	Mrs Stacey Lynn Antonucci, CRNP
	90 W Chestnut St, Washington, PA 15301-4524
	(724) 228-7113
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stacey Lynn Antonucci
Gender	Female
Speciality	Nurse Practitioner - Family
Location	90 W Chestnut St, Washington, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518116508
Provider Enumeration Date: 09/15/2008
Last Update Date: 06/18/2009

Medicare PECOS Information:

PECOS PAC ID: 2466501788
Enrollment ID: I20090515000478

Medical Identifiers

Medical identifiers for Mrs Stacey Lynn Antonucci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518116508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP009961 (Pennsylvania)	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 Lynn Antonucci allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523

Entity Name	Healthfair Plus Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220222000447

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 Lynn Antonucci 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
Mrs Stacey Lynn Antonucci, CRNP 91 Hickory Rd, Daisytown, PA 15427-1089 Ph: (724) 632-5432	Mrs Stacey Lynn Antonucci, CRNP 90 W Chestnut St, Washington, PA 15301-4524 Ph: (724) 228-7113

Reviews and Comments

Nurse Practitioner Nurses in Washington, PA

John Creese, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 Jefferson Ave, Washington, PA 15301 Phone: 724-374-3468
Hannah Marze Mickey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 W Beau St Ste 200, Washington, PA 15301 Phone: 724-228-7400
Bonita R. Clayton, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 741 Locust Avenue, Washington, PA 15301 Phone: 724-906-4798 Fax: 724-918-9068
Mrs. Kimberly June Heckman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Wilson Ave, Washington, PA 15301 Phone: 724-579-1654
Kelly Kern, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Locust Ave, Washington, PA 15301 Phone: 724-222-2577 Fax: 724-228-5849
Carlin Rose Gerba, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Wilson Ave, Washington, PA 15301 Phone: 724-223-3800
Ms. Karen J. Coleman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Wilson Ave, Washington, PA 15301 Phone: 724-223-3085

Mrs Stacey Lynn Antonucci, CRNP - Medicare Nurse Practitioner in Washington, PA