Stacey Mckinnon, in Daytona Beach, FL - Medicare Nurse Practitioner

Stacey Mckinnon, is a medicare enrolled "Nurse Practitioner - Family" in Daytona Beach, Florida. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vitalmd Group Holding Llc and her current practice location is 769 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 258-0123.

Stacey Mckinnon is licensed to practice in Florida (license number 9242649) 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 1053823112.

Contact Information

	Stacey Mckinnon,
	769 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603
	(386) 258-0123
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey Mckinnon
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	769 N Clyde Morris Blvd, Daytona Beach, Florida
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:

Stacey Mckinnon graduated from nursing school in 2017

NPI Data:

NPI Number: 1053823112
Provider Enumeration Date: 10/30/2017
Last Update Date: 10/30/2017

Medicare PECOS Information:

PECOS PAC ID: 4082974910
Enrollment ID: I20180214000151

Medical Identifiers

Medical identifiers for Stacey Mckinnon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053823112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9242649 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Halifax Health Medical Center	Daytona beach, FL	Hospital
Adventhealth Daytona Beach	Daytona beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vitalmd Group Holding Llc	8921091786	428

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 Mckinnon allows following entities to bill medicare on her behalf.

Entity Name	Vitalmd Group Holding Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878

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 Mckinnon 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 Mckinnon, 16 Abacus Ave, Ormond Beach, FL 32174-1047 Ph: (386) 274-8764	Stacey Mckinnon, 769 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603 Ph: (386) 258-0123

Reviews and Comments

Nurse Practitioner Nurses in Daytona Beach, FL

Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0500
Charles Wright, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-238-3200 Fax: 386-238-3264
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705
Holly Anne Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-323-9600 Fax: 386-323-9695
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597

Stacey Mckinnon, - Medicare Nurse Practitioner in Daytona Beach, FL