Stasia Renell Payne, in Garden City, MI - Medicare Nurse Practitioner

Stasia Renell Payne, is a medicare enrolled "Nurse Practitioner - Gerontology" in Garden City, Michigan. Her current practice location is 6255 Inkster Rd Ste 307, Garden City, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 458-3279.

Stasia Renell Payne is licensed to practice in Michigan (license number 4704300384) 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 1245001403.

Contact Information

	Stasia Renell Payne,
	6255 Inkster Rd Ste 307, Garden City, MI 48135-2538
	(734) 458-3279
	Not Available

Map and Direction

Provider's Profile

Full Name	Stasia Renell Payne
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	6255 Inkster Rd Ste 307, Garden City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245001403
Provider Enumeration Date: 01/15/2024
Last Update Date: 05/15/2025

Medicare PECOS Information:

PECOS PAC ID: 0143739086
Enrollment ID: I20250603001208

Medical Identifiers

Medical identifiers for Stasia Renell Payne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245001403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704300384 (Michigan)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	4704300384 (Michigan)	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. Stasia Renell Payne allows following entities to bill medicare on her behalf.

Entity Name	Cancer & Hematology Centers Of Western Mi, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528018389 PECOS PAC ID: 4082526793 Enrollment ID: O20031103000091

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. Stasia Renell Payne 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
Stasia Renell Payne, 6255 Inkster Rd Ste 307, Garden City, MI 48135-2538 Ph: () -	Stasia Renell Payne, 6255 Inkster Rd Ste 307, Garden City, MI 48135-2538 Ph: (734) 458-3279

Reviews and Comments

Nurse Practitioner Nurses in Garden City, MI

Rita M Catchings, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6255 Inkster Rd Ste 307, Garden City, MI 48135 Phone: 734-458-3279
Carmen Rasean Evans, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-3300
Natazia Chambers, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31742 Leona St, Garden City, MI 48135 Phone: 734-277-9839
Miriam Amen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-3426
Mrs. Loveline Suh Mbah, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31501 Maplewood St, Garden City, MI 48135 Phone: 419-908-0144
Jamie Fineran, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29150 Ford Rd, Garden City, MI 48135 Phone: 734-762-3600

Stasia Renell Payne, - Medicare Nurse Practitioner in Garden City, MI