Staci D Burrell, FNP in Rock Hill, SC - Medicare Nurse Practitioner

Staci D Burrell, FNP is a medicare enrolled "Nurse Practitioner - Family" in Rock Hill, South Carolina. Her current practice location is 101 Sedgewood Dr, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 328-9300.

Staci D Burrell is licensed to practice in South Carolina (license number 1143) 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 1114953106.

Contact Information

	Staci D Burrell, FNP
	101 Sedgewood Dr, Rock Hill, SC 29732-2315
	(803) 328-9300
	(803) 327-2179

Map and Direction

Provider's Profile

Full Name	Staci D Burrell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	101 Sedgewood Dr, Rock Hill, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114953106
Provider Enumeration Date: 06/23/2006
Last Update Date: 08/28/2014

Medicare PECOS Information:

PECOS PAC ID: 4385647742
Enrollment ID: I20060824000507

Medical Identifiers

Medical identifiers for Staci D Burrell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114953106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1143 (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. Staci D Burrell allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic South Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447420815 PECOS PAC ID: 8527126861 Enrollment ID: O20081015000409

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. Staci D Burrell 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
Staci D Burrell, FNP 101 Sedgewood Dr, Rock Hill, SC 29732-2315 Ph: (803) 328-9300	Staci D Burrell, FNP 101 Sedgewood Dr, Rock Hill, SC 29732-2315 Ph: (803) 328-9300

Reviews and Comments

Nurse Practitioner Nurses in Rock Hill, SC

Mrs. Mary Jo Barreto, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Winthrop University Health Services, Rock Hill, SC 29733 Phone: 803-323-2206 Fax: 803-323-3332
Ms. Wanda Kaye Clark, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1151 Camden Ave, Rock Hill, SC 29732 Phone: 803-909-6363 Fax: 803-909-6364
Marta Pacheco, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1617 Shetland Ln, Rock Hill, SC 29730 Phone: 540-797-4361
Andrea Blakeman, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1131 Saluda St, Rock Hill, SC 29730 Phone: 803-325-7744 Fax: 803-325-1117
Sarah Elizabeth Christ, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Amendment Ave, Rock Hill, SC 29732 Phone: 803-324-7607 Fax: 800-332-4409
Mr. Gerald Alfred Bracete, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Lakeshore Pkwy, Rock Hill, SC 29730 Phone: 803-909-6363
Sarah Lyn Ruhland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 197 Piedmont Blvd Ste 100, Rock Hill, SC 29732 Phone: 803-324-1950 Fax: 803-324-1933

Staci D Burrell, FNP - Medicare Nurse Practitioner in Rock Hill, SC