Stacy Doyle, is a medicare enrolled "Nurse Practitioner - Family" in Clarksville, Ohio. Her current practice location is
341 E Main St, Clarksville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 728-5447.
Stacy Doyle is licensed to practice in Ohio (license number APRN.CNP.020033) 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 1851841811.
Provider's Profile
| Full Name | Stacy Doyle |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 341 E Main St, Clarksville, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851841811
- Provider Enumeration Date: 10/13/2016
- Last Update Date: 10/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 3779862347
- Enrollment ID: I20161122002476
Medical Identifiers
Medical identifiers for Stacy Doyle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851841811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.020033 (Ohio) | 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. Stacy Doyle allows following entities to bill medicare on her behalf.
| Entity Name | Np Home Visits Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245426451
PECOS PAC ID: 7618065939
Enrollment ID: O20071120000000 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190614001031 |
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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. Stacy Doyle 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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Stacy Doyle,
341 E Main St,
Clarksville, OH 45113-8683
Ph: () - | Stacy Doyle,
341 E Main St,
Clarksville, OH 45113-8683
Ph: (937) 728-5447 |
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