Mrs Stacy Deckhart, NP in Torrance, CA - Medicare Nurse Practitioner

Mrs Stacy Deckhart, NP is a medicare enrolled "Nurse Practitioner" in Torrance, California. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Iha Health Services Corporation and her current practice location is 1907 Border Ave, Torrance, California. You can reach out to her office (for appointments etc.) via phone at (844) 443-6246.

Mrs Stacy Deckhart is licensed to practice in Michigan (license number 4704303905) 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 1659933927.

Contact Information

	Mrs Stacy Deckhart, NP
	1907 Border Ave, Torrance, CA 90501-3606
	(844) 443-6246
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stacy Deckhart
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1907 Border Ave, Torrance, California
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 Stacy Deckhart graduated from nursing school in 2019

NPI Data:

NPI Number: 1659933927
Provider Enumeration Date: 07/08/2019
Last Update Date: 07/30/2025

Medicare PECOS Information:

PECOS PAC ID: 5496081366
Enrollment ID: I20190730003285

Medical Identifiers

Medical identifiers for Mrs Stacy Deckhart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659933927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704303905 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704303905 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Mercy Hospital	Ann arbor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iha Health Services Corporation	2466351440	1033

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 Stacy Deckhart allows following entities to bill medicare on her behalf.

Entity Name	Iha Health Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355

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 Stacy Deckhart 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 Stacy Deckhart, NP 24 Frank Lloyd Wright Dr Lbby J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766	Mrs Stacy Deckhart, NP 1907 Border Ave, Torrance, CA 90501-3606 Ph: (844) 443-6246

Reviews and Comments

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Anjana Johanis, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 424-306-8323
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Mrs Stacy Deckhart, NP - Medicare Nurse Practitioner in Torrance, CA