Stacy Marie Tavenner, in Henrico, VA - Medicare Nurse Practitioner

Stacy Marie Tavenner, is a medicare enrolled "Nurse Practitioner" in Henrico, Virginia. Her current practice location is 3001 Hungary Spring Rd Ste C, Henrico, Virginia. You can reach out to her office (for appointments etc.) via phone at (317) 418-5138.

Stacy Marie Tavenner is licensed to practice in Georgia (license number RN212253) 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 1710535091.

Contact Information

	Stacy Marie Tavenner,
	3001 Hungary Spring Rd Ste C, Henrico, VA 23228-2428
	(317) 418-5138
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacy Marie Tavenner
Gender	Female
Speciality	Nurse Practitioner
Location	3001 Hungary Spring Rd Ste C, Henrico, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710535091
Provider Enumeration Date: 08/29/2019
Last Update Date: 11/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9032588975
Enrollment ID: I20221215000698

Medical Identifiers

Medical identifiers for Stacy Marie Tavenner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710535091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	24185330 (Virginia)	Secondary
363L00000X	Nurse Practitioner	11021325 (Florida)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN212253 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN212253 (Georgia)	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 Marie Tavenner allows following entities to bill medicare on her behalf.

Entity Name	Workit Health Mi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013686989 PECOS PAC ID: 6406101625 Enrollment ID: O20220307001614

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 Marie Tavenner 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 Marie Tavenner, 4830 Anvil Ct, Jefferson, GA 30549-8858 Ph: (317) 418-5138	Stacy Marie Tavenner, 3001 Hungary Spring Rd Ste C, Henrico, VA 23228-2428 Ph: (317) 418-5138

Reviews and Comments

Nurse Practitioner Nurses in Henrico, VA

Mrs. Ifeoma Nkemdilim Jennifer Elebo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 Vanna Ln, Henrico, VA 23233 Phone: 804-528-9752 Fax: 804-409-8005
Stacey Renae White, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Hungary Spring Rd Ste C, Henrico, VA 23228 Phone: 804-415-7156 Fax: 804-420-2854
Mrs. Andrea L. Mayo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2301 Hilliard Rd Ste 4, Henrico, VA 23228 Phone: 804-549-4966
Emily League, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1503 Santa Rosa Rd Rm 211, Henrico, VA 23229 Phone: 804-303-9622
Brittney Michelle Clark, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 Staples Mill Rd, Henrico, VA 23228 Phone: 804-977-9526
Mrs. Marianna Nutting, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8006 Discovery Dr Ste 400, Henrico, VA 23229 Phone: 804-256-8282 Fax: 804-256-8288
Ms. Katherine Parks Watson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3450 Mayland Ct, Henrico, VA 23233 Phone: 894-484-3700

Stacy Marie Tavenner, - Medicare Nurse Practitioner in Henrico, VA