Staci Krisann Spake, FNP-C is a medicare enrolled "Surgery" in Lincolnton, North Carolina. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aswad Surgical Group Pc and her current practice location is
441 Mcalister Rd, Ste 2400, Lincolnton, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 735-0511.
Staci Krisann Spake is licensed to practice in North Carolina (license number 5006345) 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 1295177848.
Provider's Profile
| Full Name | Staci Krisann Spake |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 11 Years |
|---|
| Location | 441 Mcalister Rd, Ste 2400, Lincolnton, North Carolina |
|---|
| 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:
- Staci Krisann Spake graduated from nursing school in 2013
NPI Data:
- NPI Number: 1295177848
- Provider Enumeration Date: 07/24/2013
- Last Update Date: 10/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799919189
- Enrollment ID: I20131018001089
Medical Identifiers
Medical identifiers for Staci Krisann Spake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295177848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 5006345 (North Carolina) | Secondary |
| 208600000X | Surgery | 5006345 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aswad Surgical Group Pc | 9537174552 | 2 |
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 Krisann Spake allows following entities to bill medicare on her behalf.
| Entity Name | Aswad Surgical Group Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1164599866
PECOS PAC ID: 9537174552
Enrollment ID: O20060213000647 |
|---|
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 Krisann Spake 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 Krisann Spake, FNP-C
441 Mcalister Rd, Ste 2400,
Lincolnton, NC 28092
Ph: (704) 735-0511 | Staci Krisann Spake, FNP-C
441 Mcalister Rd, Ste 2400,
Lincolnton, NC 28092
Ph: (704) 735-0511 |
Reviews and Comments