Stacey Ann Swinehart, CRNP-FAMILY is a medicare enrolled "Dermatology" in Myrtle Beach, South Carolina. She went to Rush Medical College Of Rush University and graduated in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Waccamaw Dermatology Llc, Waccamaw Dermatology Llc and 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
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 1750961017.
Provider's Profile
| Full Name | Stacey Ann Swinehart |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 5046 Highway 17 Byp S Ste 200, Myrtle Beach, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacey Ann Swinehart attended and graduated from Rush Medical College Of Rush University in 2021
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: I20250804000525
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 |
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| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Waccamaw Dermatology Llc | 7315021169 | 26 |
| Waccamaw Dermatology Llc | 7315021169 | 26 |
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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