Stacey Ann Swinehart, CRNP-FAMILY is a medicare enrolled "Dermatology" in Myrtle Beach, South Carolina. Her current practice location is
5046 Highway 17 Byp S Ste 200, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 449-0453.
Stacey Ann Swinehart is licensed to practice in South Carolina (license number 29449) 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 1750961017.
Provider's Profile
| Full Name | Stacey Ann Swinehart |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 5046 Highway 17 Byp S Ste 200, Myrtle Beach, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750961017
- Provider Enumeration Date: 04/12/2021
- Last Update Date: 07/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123401908
- Enrollment ID: I20230515001619
Medical Identifiers
Medical identifiers for Stacey Ann Swinehart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750961017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WC0200X | Registered Nurse - Critical Care Medicine | 041.437483 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R253460 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 351801 (New York) | Secondary |
| 207N00000X | Dermatology | 29449 (South Carolina) | 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. Stacey Ann Swinehart allows following entities to bill medicare on her behalf.
| Entity Name | University Of Rochester |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019 |
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| Entity Name | University Dermatology Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609802362 PECOS PAC ID: 5698736460 Enrollment ID: O20041025000732 |
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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. Stacey Ann Swinehart 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 |
Stacey Ann Swinehart, CRNP-FAMILY 5046 Highway 17 Byp S Ste 200, Myrtle Beach, SC 29588-4503 Ph: (843) 449-0453 | Stacey Ann Swinehart, CRNP-FAMILY 5046 Highway 17 Byp S Ste 200, Myrtle Beach, SC 29588-4503 Ph: (843) 449-0453 |
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