Stacy Lynn Rutherford, DNAP in Tahlequah, OK - Medicare Nurse Anesthetist, Certified Registered

Stacy Lynn Rutherford, DNAP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tahlequah, Oklahoma. Her current practice location is 100 S Bliss Ave, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 458-3100.

Stacy Lynn Rutherford is licensed to practice in Oklahoma (license number 117919) 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 1548882103.

Contact Information

	Stacy Lynn Rutherford, DNAP
	100 S Bliss Ave, Tahlequah, OK 74464-2512
	(918) 458-3100
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacy Lynn Rutherford
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	100 S Bliss Ave, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548882103
Provider Enumeration Date: 05/17/2020
Last Update Date: 03/22/2022

Medicare PECOS Information:

PECOS PAC ID: 9830512581
Enrollment ID: I20200714000672

Medical Identifiers

Medical identifiers for Stacy Lynn Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548882103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	138975 (Kansas)	Secondary
163W00000X	Registered Nurse	117919 (Oklahoma)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	117919 (Oklahoma)	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 Lynn Rutherford allows following entities to bill medicare on her behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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 Lynn Rutherford 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 Lynn Rutherford, DNAP 5527 Nieman Rd, Shawnee, KS 66203-2345 Ph: (918) 633-4820	Stacy Lynn Rutherford, DNAP 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3100

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tahlequah, OK

Emmanuel Samedi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3115
Alicia L Clingan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641
David Alan Forsythe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3511
William George Worthington, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3511
Sean Wayne Poe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3115 Fax: 918-458-3511
Teresa Lynn Toombs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-453-2148
Nicholas Novak, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641

Stacy Lynn Rutherford, DNAP - Medicare Nurse Anesthetist, Certified Registered in Tahlequah, OK