Stacy Underwood, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Mesa, Arizona. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice District Medical Group Inc and her current practice location is
1255 W Baseline Rd, Suite B258, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 820-0825.
Stacy Underwood is licensed to practice in Arizona (license number AP3830) 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 1043325541.
Healthcare Provider's Profile
Full Name | Stacy Underwood |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 15 Years |
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Location | 1255 W Baseline Rd, Mesa, Arizona |
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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 Underwood graduated from medical school in 2009
NPI Data:
- NPI Number: 1043325541
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 07/09/2012
Medicare PECOS Information:
- PECOS PAC ID: 5597948851
- Enrollment ID: I20110323000722
Medical Identifiers
Medical identifiers for Stacy Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043325541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 074959 (New York) | Secondary |
163W00000X | Registered Nurse | 5 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F401243-1 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP3830 (Arizona) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
District Medical Group Inc | 7315086691 | 362 |
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 Underwood allows following entities to bill medicare on her behalf.
Entity Name | Southwest Behavioral Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144384389 PECOS PAC ID: 9739075854 Enrollment ID: O20040225000948 |
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Entity Name | Jewish Family & Childrens Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023174455 PECOS PAC ID: 9234028671 Enrollment ID: O20040312001009 |
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Entity Name | Connectionsaz, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083840953 PECOS PAC ID: 1759437635 Enrollment ID: O20090917000359 |
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Entity Name | District Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
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Entity Name | Community Partners Integrated Healthcare, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669897385 PECOS PAC ID: 7315163938 Enrollment ID: O20140716002626 |
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Entity Name | Connectionsaz Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083840953 PECOS PAC ID: 3072858745 Enrollment ID: O20181227002230 |
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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 Underwood 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 Underwood, NP 4747 N 7th St, Suite 100, Phoenix, AZ 85014-3653 Ph: (602) 279-7655 | Stacy Underwood, NP 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 Ph: (480) 820-0825 |
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