Dr Stacie Bentley, DMD is a medicare enrolled "Dentist" provider in Kathleen, Georgia. Her current practice location is
674 Lake Joy Road, Kathleen, Georgia. You can reach out to her office (for appointments etc.) via phone at
(217) 540-5100.
Dr Stacie Bentley is licensed to practice in Georgia (license number DN015465) 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 1669994786.
Healthcare Provider's Profile
Full Name | Dr Stacie Bentley |
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Gender | Female |
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Speciality | Dentist |
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Location | 674 Lake Joy Road, Kathleen, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669994786
- Provider Enumeration Date: 07/11/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901160449
- Enrollment ID: I20180508002413
Medical Identifiers
Medical identifiers for Dr Stacie Bentley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669994786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DN015465 (Georgia) | Primary |
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. Dr Stacie Bentley 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 |
Dr Stacie Bentley, DMD 674 Lake Joy Road, Kathleen, GA 31047 Ph: (217) 540-5100 | Dr Stacie Bentley, DMD 674 Lake Joy Road, Kathleen, GA 31047 Ph: (217) 540-5100 |
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