Mrs Staci Lynn Butler, CRNP in Salisbury, MD - Medicare Nurse Practitioner

Mrs Staci Lynn Butler, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Salisbury, Maryland. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Healthport, Privia Care Center Llc and her current practice location is 505 E Main St, Salisbury, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 341-3420.

Mrs Staci Lynn Butler is licensed to practice in Maryland (license number R21881) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215545116.

Contact Information

	Mrs Staci Lynn Butler, CRNP
	505 E Main St, Salisbury, MD 21804-5020
	(410) 341-3420
	(410) 341-3397

Map and Direction

Provider's Profile

Full Name	Mrs Staci Lynn Butler
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	505 E Main St, Salisbury, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Staci Lynn Butler graduated from nursing school in 2023

NPI Data:

NPI Number: 1215545116
Provider Enumeration Date: 07/16/2020
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9537585740
Enrollment ID: I20200819000953

Medical Identifiers

Medical identifiers for Mrs Staci Lynn Butler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215545116	NPI	-	NPPES
119591300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R221881 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R21881 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthport	2365469947	16
Privia Care Center Llc	3274801139	251

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 Staci Lynn Butler allows following entities to bill medicare on her behalf.

Entity Name	Healthport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154320646 PECOS PAC ID: 2365469947 Enrollment ID: O20051102000426

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040

Entity Name	Privia Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055

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 Staci Lynn Butler 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 Staci Lynn Butler, CRNP 505 E Main St, Salisbury, MD 21804-5020 Ph: (410) 341-3420	Mrs Staci Lynn Butler, CRNP 505 E Main St, Salisbury, MD 21804-5020 Ph: (410) 341-3420

Reviews and Comments

Nurse Practitioner Nurses in Salisbury, MD

Iris Harrington Gehring, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2425 N. Salisbury Blvd, Salisbury, MD 21801 Phone: 410-334-6351 Fax: 443-210-2557
Mrs. Leslie Oliver, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1113 Healthway Dr Ste 101, Salisbury, MD 21804 Phone: 443-944-8723
Kari Ann Cheezum, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2425 N Salisbury Blvd, Salisbury, MD 21801 Phone: 877-222-4934
Ms. Melissa A Bennett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Glen Ave Ste 104, Salisbury, MD 21804 Phone: 410-543-9111
Myrna Kay Lehner, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Milford St, Ste 201, Salisbury, MD 21804 Phone: 410-543-1952 Fax: 410-543-8497
Brenda Martin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-543-7531 Fax: 410-543-4722
Donald E. Clayton, CRNP-F Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1665 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-546-6650 Fax: 410-546-2656

Mrs Staci Lynn Butler, CRNP - Medicare Nurse Practitioner in Salisbury, MD