Mrs Stacy Ann Paine, RD, LD in Atlanta, GA - Medicare Dietitian, Registered Provider

Mrs Stacy Ann Paine, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Atlanta, Georgia. Her current practice location is 6674 Cadence Blvd, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 937-3338.

Mrs Stacy Ann Paine is licensed to practice in Georgia (license number LD002157) 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 1154576445.

Contact Information

	Mrs Stacy Ann Paine, RD, LD
	6674 Cadence Blvd, Atlanta, GA 30328-2874
	(404) 937-3338
	(404) 777-6469

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacy Ann Paine
Gender	Female
Speciality	Dietitian, Registered
Location	6674 Cadence Blvd, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154576445
Provider Enumeration Date: 12/01/2008
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 5092844720
Enrollment ID: I20100518000836

Medical Identifiers

Medical identifiers for Mrs Stacy Ann Paine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154576445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LD002157 (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. Mrs Stacy Ann Paine allows following entities to bill medicare on her behalf.

Provider Name	Oconee Nutrition Consultants, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780903096 PECOS PAC ID: 0648466284 Enrollment ID: O20101122001318

Provider Name	Nourished Well, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629840921 PECOS PAC ID: 7113363532 Enrollment ID: O20240307003313

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. Mrs Stacy Ann Paine 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
Mrs Stacy Ann Paine, RD, LD 1061 Whispering Lakes Trl, Madison, GA 30650-6325 Ph: (678) 773-1853	Mrs Stacy Ann Paine, RD, LD 6674 Cadence Blvd, Atlanta, GA 30328-2874 Ph: (404) 937-3338

Reviews and Comments

Dietitian, Registered in Atlanta, GA

Alexis Roberts, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2232 Dunseath Ave Nw Apt 413, Atlanta, GA 30318 Phone: 678-756-4091
Nancy Olivia Taylor, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 Tullie Rd Ne, Atlanta, GA 30329 Phone: 404-785-9465
Ms. Christine Nicole Swafford, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 777 Cleveland Ave Sw, Suite 516, Atlanta, GA 30315 Phone: 404-761-0819 Fax: 404-768-2336
Shannon Leigh Davis, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 315 Boulevard Ne, Suite 332, Atlanta, GA 30312 Phone: 404-881-8020
Savannah Brittany Duffy, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 Johnson Fy Rd Ne Ste 350, Atlanta, GA 30342 Phone: 404-236-8036
Lindsey Webb, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3644 Chamblee Tucker Rd, Atlanta, GA 30341 Phone: 410-370-0415
Rachel D Agnew, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-851-6023

Mrs Stacy Ann Paine, RD, LD - Medicare Dietitian in Atlanta, GA