Stacey Renae Couch, in Southfield, MI - Medicare Nurse Practitioner

Stacey Renae Couch, is a medicare enrolled "Nurse Practitioner - Family" in Southfield, Michigan. Her current practice location is 18591 W 10 Mile Rd, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 621-9443.

Stacey Renae Couch is licensed to practice in Michigan (license number 4704321587) 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 1215690458.

Contact Information

	Stacey Renae Couch,
	18591 W 10 Mile Rd, Southfield, MI 48075-2619
	(248) 621-9443
	(248) 621-9553

Map and Direction

Provider's Profile

Full Name	Stacey Renae Couch
Gender	Female
Speciality	Nurse Practitioner - Family
Location	18591 W 10 Mile Rd, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215690458
Provider Enumeration Date: 10/14/2021
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9537548052
Enrollment ID: I20220614000274

Medical Identifiers

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

Identifier	Type	State	Issuer
1215690458	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704321587 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	4704321587 (Michigan)	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 Renae Couch allows following entities to bill medicare on her behalf.

Entity Name	Exclusive Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811226749 PECOS PAC ID: 9335279942 Enrollment ID: O20100608000793

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 Renae Couch 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 Renae Couch, 23938 Fairview Ct, Farmington Hills, MI 48335-3117 Ph: (313) 743-2512	Stacey Renae Couch, 18591 W 10 Mile Rd, Southfield, MI 48075-2619 Ph: (248) 621-9443

Reviews and Comments

Nurse Practitioner Nurses in Southfield, MI

Mrs. Theonna Monique Hindmon-harris, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21700 Northwestern Hwy Ste 815, Southfield, MI 48075 Phone: 248-557-3337 Fax: 248-557-3339
Charmaine Adegeye, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25240 Lahser Rd Ste 2, Southfield, MI 48033 Phone: 248-564-1367 Fax: 734-725-6746
Ms. Jessica L Beacome, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 101 Fischer Center, Southfield, MI 48075 Phone: 248-849-8716 Fax: 248-849-2565
Teresea Ann Zarza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2528 Fax: 248-849-8256
Nicole Noel Silvestri, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489
Mrs. Caroline B Trapp, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29201 Telegraph Rd, Suite 404, Southfield, MI 48034 Phone: 248-355-0880 Fax: 248-355-9232
Mrs. Bernadette Ann Bruno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2536

Stacey Renae Couch, - Medicare Nurse Practitioner in Southfield, MI