Ms Stacey D Ervin, FNP - Medicare Nurse Practitioner in Longview, TX

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Ms Stacey D Ervin, FNP is a medicare enrolled "Nurse Practitioner" in Longview, Texas. Her current practice location is 3111 Mccann Rd, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 753-1212.

Ms Stacey D Ervin is licensed to practice in Texas (license number 630620) 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 1487697538.

Contact Information

Ms Stacey D Ervin, FNP
3111 Mccann Rd,
Longview, TX 75605-7842
(903) 753-1212
(214) 712-2487

Map and Direction




Provider's Profile

Full NameMs Stacey D Ervin
GenderFemale
SpecialityNurse Practitioner
Location3111 Mccann Rd, Longview, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487697538
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961453071
  • Enrollment ID: I20050207000377

Medical Identifiers

Medical identifiers for Ms Stacey D Ervin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487697538NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP113426 (Texas)Secondary
363L00000XNurse Practitioner 630620 (Texas)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. Ms Stacey D Ervin allows following entities to bill medicare on her behalf.
Entity NameTexas Em-i Medical Services, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457428849
PECOS PAC ID: 6507760543
Enrollment ID: O20031201000296
Entity NameTexarkana Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871813345
PECOS PAC ID: 4486778669
Enrollment ID: O20100824001147
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220525002138

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. Ms Stacey D Ervin 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 AddressPractice Location Address
Ms Stacey D Ervin, FNP
370 Utah St,
Avery, TX 75554-2600

Ph: (903) 908-0352		Ms Stacey D Ervin, FNP
3111 Mccann Rd,
Longview, TX 75605-7842

Ph: (903) 753-1212

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.