Stacey Renee Warden, is a medicare enrolled "Nurse Practitioner - Family" in Fyffe, Alabama. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Alabama Health Services, Inc. and her current practice location is
34617 Al Highway 75, Fyffe, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 623-5242.
Stacey Renee Warden is licensed to practice in Alabama (license number 1-102742) 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 1679194351.
Provider's Profile
| Full Name | Stacey Renee Warden |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 34617 Al Highway 75, Fyffe, Alabama |
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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 Renee Warden graduated from nursing school in 2019
NPI Data:
- NPI Number: 1679194351
- Provider Enumeration Date: 05/04/2020
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921423872
- Enrollment ID: I20200810000790
Medical Identifiers
Medical identifiers for Stacey Renee Warden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679194351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1-102742 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northeast Alabama Health Services, Inc. | 4082522883 | 12 |
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 Renee Warden allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Alabama Health Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659448983
PECOS PAC ID: 4082522883
Enrollment ID: O20040120000485 |
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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 Renee Warden 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 |
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Stacey Renee Warden,
1500 1st Ave N Unit 3,
Birmingham, AL 35203-1866
Ph: (205) 644-8256 | Stacey Renee Warden,
34617 Al Highway 75,
Fyffe, AL 35971-3488
Ph: (256) 623-5242 |
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