Mrs Stacie Nicole Harrison, PMHNP-BC in Baltimore, MD

Mrs Stacie Nicole Harrison, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baltimore, Maryland. Her current practice location is 7822 Eastern Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (800) 847-6028.

Mrs Stacie Nicole Harrison is licensed to practice in Maryland (license number R157930) 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 1811280803.

Contact Information

	Mrs Stacie Nicole Harrison, PMHNP-BC
	7822 Eastern Ave, Baltimore, MD 21224-2115
	(800) 847-6028
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stacie Nicole Harrison
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	7822 Eastern Ave, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811280803
Provider Enumeration Date: 05/24/2011
Last Update Date: 05/05/2023

Medicare PECOS Information:

PECOS PAC ID: 5597123802
Enrollment ID: I20230620000130

Medical Identifiers

Medical identifiers for Mrs Stacie Nicole Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811280803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R157930 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R157930 (Maryland)	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 Stacie Nicole Harrison allows following entities to bill medicare on her behalf.

Entity Name	Tidemark Intervention Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720595242 PECOS PAC ID: 7911317441 Enrollment ID: O20201111002065

Entity Name	Mahogany Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073207171 PECOS PAC ID: 0547608192 Enrollment ID: O20240402003435

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 Stacie Nicole Harrison 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 Stacie Nicole Harrison, PMHNP-BC 3108 Bayonne Ave, Baltimore, MD 21214-2323 Ph: (410) 426-1327	Mrs Stacie Nicole Harrison, PMHNP-BC 7822 Eastern Ave, Baltimore, MD 21224-2115 Ph: (800) 847-6028

Reviews and Comments

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Mrs Stacie Nicole Harrison, PMHNP-BC - Medicare Nurse Practitioner in Baltimore, MD