Dr Stacey F Brisman, MD is a medicare enrolled "Dermatology" physician in Greenvale, New York. She went to Emory University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Stacey F. Brisman Md Pc and her current practice location is
50 Glen Cove Rd, Greenvale, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 200-3545.
Dr Stacey F Brisman is licensed to practice in New York (license number 2395481) 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 1679720825.
Physician's Profile
Full Name | Dr Stacey F Brisman |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 24 Years |
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Location | 50 Glen Cove Rd, Greenvale, New York |
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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:
- Dr Stacey F Brisman attended and graduated from Emory University School Of Medicine in 2000
NPI Data:
- NPI Number: 1679720825
- Provider Enumeration Date: 08/19/2008
- Last Update Date: 08/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 5193871358
- Enrollment ID: I20090914000489
Medical Identifiers
Medical identifiers for Dr Stacey F Brisman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679720825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 2395481 (New York) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Stacey F. Brisman Md Pc | 5294077277 | 4 |
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. Dr Stacey F Brisman allows following entities to bill medicare on her behalf.
Entity Name | Wesson Dermatology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346514411 PECOS PAC ID: 9830347483 Enrollment ID: O20120924000611 |
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Entity Name | Stacey F. Brisman Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336618941 PECOS PAC ID: 5294077277 Enrollment ID: O20190423000383 |
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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. Dr Stacey F Brisman 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 Stacey F Brisman, MD Po Box 1153, Syosset, NY 11791-0489 Ph: (516) 621-1982 | Dr Stacey F Brisman, MD 50 Glen Cove Rd, Greenvale, NY 11548-1062 Ph: (516) 200-3545 |
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