Staci Garner, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Petersburg, Tennessee. Her current practice location is
2508 Highway 130, Petersburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 703-0829.
Staci Garner is licensed to practice in Tennessee (license number 26843) 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 1023653037.
Provider's Profile
Full Name | Staci Garner |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 2508 Highway 130, Petersburg, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023653037
- Provider Enumeration Date: 11/13/2019
- Last Update Date: 11/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 2860827912
- Enrollment ID: I20200117000357
Medical Identifiers
Medical identifiers for Staci Garner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023653037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 26843 (Tennessee) | 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 Garner allows following entities to bill medicare on her behalf.
Entity Name | Advanced Diagnostic Imaging Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
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Entity Name | Faith Family Wellness Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184107302 PECOS PAC ID: 8426396540 Enrollment ID: O20190215001260 |
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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. Staci Garner 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 Garner, FNP 2508 Highway 130, Petersburg, TN 37144-8001 Ph: (931) 703-0829 | Staci Garner, FNP 2508 Highway 130, Petersburg, TN 37144-8001 Ph: (931) 703-0829 |
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