Stacy M Wynn, in Capac, MI - Medicare Clinical Social Worker Provider

Stacy M Wynn, is a medicare enrolled "Social Worker - Clinical" provider in Capac, Michigan. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Blue Water Mental Health Clinic and her current practice location is 14960 E Park St, Capac, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 395-4343.

Stacy M Wynn is licensed to practice in Michigan (license number 6801092800) 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 1891083549.

Contact Information

	Stacy M Wynn,
	14960 E Park St, Capac, MI 48014-3177
	(810) 395-4343
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy M Wynn
Gender	Female
Speciality	Clinical Social Worker
Experience	14 Years
Location	14960 E Park St, Capac, 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 M Wynn graduated from medical school in 2010

NPI Data:

NPI Number: 1891083549
Provider Enumeration Date: 07/15/2011
Last Update Date: 07/15/2011

Medicare PECOS Information:

PECOS PAC ID: 3476863788
Enrollment ID: I20151116002643

Medical Identifiers

Medical identifiers for Stacy M Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891083549	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801092800 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blue Water Mental Health Clinic	2769477264	12

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 M Wynn allows following entities to bill medicare on her behalf.

Entity Name	Blue Water Mental Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457305419 PECOS PAC ID: 2769477264 Enrollment ID: O20060531000214

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 M Wynn 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 M Wynn, 4055 Aletha Ln, Port Huron, MI 48060-1769 Ph: (810) 334-1828	Stacy M Wynn, 14960 E Park St, Capac, MI 48014-3177 Ph: (810) 395-4343

Reviews and Comments

Social Worker in Capac, MI

Marney Beth Studaker-cordner, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14960 E Park St, Capac, MI 48014 Phone: 810-966-3564
Susan Kay Kraft, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14960 E Park St, Capac, MI 48014 Phone: 810-395-4343 Fax: 810-395-2985
Mrs. Tracy Ann Matthews, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14960 E Park St, Capac, MI 48014 Phone: 810-395-4343
Mrs. Angela Lynn Nester, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14960 E Park St, Capac, MI 48014 Phone: 810-395-4343 Fax: 810-395-2985

Stacy M Wynn, - Medicare Clinical Social Worker in Capac, MI