Mrs Stacey Nicole Harden, ARNP in Jacksonville, FL

Mrs Stacey Nicole Harden, ARNP is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. Her current practice location is 101 W 48th St, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (049) 557-5759.

Mrs Stacey Nicole Harden is licensed to practice in Florida (license number ARNP9282390) 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 1801334834.

Contact Information

	Mrs Stacey Nicole Harden, ARNP
	101 W 48th St, Jacksonville, FL 32208-5232
	(049) 557-5759
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stacey Nicole Harden
Gender	Female
Speciality	Nurse Practitioner
Location	101 W 48th St, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801334834
Provider Enumeration Date: 02/09/2017
Last Update Date: 06/18/2021

Medicare PECOS Information:

PECOS PAC ID: 0840569760
Enrollment ID: I20170710001674

Medical Identifiers

Medical identifiers for Mrs Stacey Nicole Harden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801334834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP9282390 (Florida)	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 Nicole Harden allows following entities to bill medicare on her behalf.

Entity Name	Coastal Healthcare Partners, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053762740 PECOS PAC ID: 0244509149 Enrollment ID: O20170710001136

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 Nicole Harden 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 Nicole Harden, ARNP 9785 Corsshill Blvd, Suite 108, Jacksonville, FL 32222 Ph: (904) 772-6522	Mrs Stacey Nicole Harden, ARNP 101 W 48th St, Jacksonville, FL 32208-5232 Ph: (049) 557-5759

Reviews and Comments

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Mrs Stacey Nicole Harden, ARNP - Medicare Nurse Practitioner in Jacksonville, FL