Stacy L Conn, NP in Richmond, MI - Medicare Nurse Practitioner

Stacy L Conn, NP is a medicare enrolled "Nurse Practitioner - Family" in Richmond, Michigan. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Great Lakes Medical Group Pc, Great Lakes Urgent Care, Pc Of Eastside and her current practice location is 71320 Weeks Rd, Richmond, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 405-1290.

Stacy L Conn is licensed to practice in Michigan (license number 4704305319) 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 1780226613.

Contact Information

	Stacy L Conn, NP
	71320 Weeks Rd, Richmond, MI 48062-4933
	(586) 405-1290
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacy L Conn
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	71320 Weeks Rd, Richmond, Michigan
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:

Stacy L Conn graduated from nursing school in 2019

NPI Data:

NPI Number: 1780226613
Provider Enumeration Date: 10/11/2019
Last Update Date: 10/11/2019

Medicare PECOS Information:

PECOS PAC ID: 7911321518
Enrollment ID: I20201028002946

Medical Identifiers

Medical identifiers for Stacy L Conn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780226613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704305319 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St John Hospital	Detroit, MI	Hospital
Beaumont Hospital - Grosse Pointe	Grosse pointe, MI	Hospital
Ascension River District Hospital	East china, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Great Lakes Medical Group Pc	1557679073	5
Great Lakes Urgent Care, Pc Of Eastside	7810120235	3

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 L Conn allows following entities to bill medicare on her behalf.

Entity Name	Great Lakes Urgent Care, Pc Of Eastside
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477978930 PECOS PAC ID: 7810120235 Enrollment ID: O20140508001412

Entity Name	Great Lakes Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053787853 PECOS PAC ID: 1557679073 Enrollment ID: O20151002001904

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 L Conn 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
Stacy L Conn, NP 71320 Weeks Rd, Richmond, MI 48062-4933 Ph: (586) 405-1290	Stacy L Conn, NP 71320 Weeks Rd, Richmond, MI 48062-4933 Ph: (586) 405-1290

Reviews and Comments

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Stacy L Conn, NP - Medicare Nurse Practitioner in Richmond, MI