Mrs Stacy Marie Gutierrez, FNP-C is a medicare enrolled "Nurse Practitioner - Family" provider in Magnolia, Texas. 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 | |
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Experience | 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 in
NPI Data:
- NPI Number: 1366856536
- Provider Enumeration Date: 06/16/2014
- Last Update Date: 01/26/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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