Mrs Stacy Marie Gutierrez, FNP-C is a medicare enrolled "Nurse Practitioner - Family" provider in Magnolia, Texas. She went to University Of Texas Medical School At Houston and graduated in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tmh Physician Associates Pllc and her current practice location is
20003 Mahogany Ridge Dr, Magnolia, Texas. You can reach out to her office (for appointments etc.) via phone at
(443) 955-9836.
Mrs Stacy Marie Gutierrez is licensed to practice in Texas (license number AP142069) 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 1366856536.
Healthcare Provider's Profile
Full Name | Mrs Stacy Marie Gutierrez |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 20003 Mahogany Ridge Dr, Magnolia, Texas |
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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:
- Mrs Stacy Marie Gutierrez attended and graduated from University Of Texas Medical School At Houston in 2019
NPI Data:
- NPI Number: 1366856536
- Provider Enumeration Date: 06/16/2014
- Last Update Date: 01/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789084864
- Enrollment ID: I20210610002267
Medical Identifiers
Medical identifiers for Mrs Stacy Marie Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366856536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 898509 (Texas) | Secondary |
163W00000X | Registered Nurse | 754202 (Texas) | Secondary |
163WL0100X | Registered Nurse - Lactation Consultant | 202997 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP142069 (Texas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Tmh Physician Associates Pllc | 4486711744 | 1583 |
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 Marie Gutierrez allows following entities to bill medicare on her behalf.
Provider Name | Tmh Physician Associates Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1275779225 PECOS PAC ID: 4486711744 Enrollment ID: O20090401000100 |
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Provider Name | Usa Emergency Centers-riverstone Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1164910360 PECOS PAC ID: 4789930496 Enrollment ID: O20190418001149 |
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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. Mrs Stacy Marie Gutierrez 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 Marie Gutierrez, FNP-C 20003 Mahogany Ridge Dr, Magnolia, TX 77355-4996 Ph: (443) 955-9836 | Mrs Stacy Marie Gutierrez, FNP-C 20003 Mahogany Ridge Dr, Magnolia, TX 77355-4996 Ph: (443) 955-9836 |
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