Dr Stacey Renee Gouzenne, MD in Charlotte, NC

Dr Stacey Renee Gouzenne, MD is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. Her current practice location is 4221 Tuckaseegee Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 806-9865.

Dr Stacey Renee Gouzenne is licensed to practice in North Carolina (license number 9500917) 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 1588616569.

Contact Information

	Dr Stacey Renee Gouzenne, MD
	4221 Tuckaseegee Rd, Charlotte, NC 28208-2801
	(704) 806-9865
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Stacey Renee Gouzenne
Gender	Female
Speciality	Emergency Medicine
Location	4221 Tuckaseegee Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588616569
Provider Enumeration Date: 05/17/2006
Last Update Date: 11/09/2011

Medicare PECOS Information:

PECOS PAC ID: 1951360718
Enrollment ID: I20041007000166

Medical Identifiers

Medical identifiers for Dr Stacey Renee Gouzenne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588616569	NPI	-	NPPES
36407	Other	NC	BLUE CROSS
8936407	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	9500917 (North Carolina)	Primary
207P00000X	Emergency Medicine	23329 (South Carolina)	Secondary

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 Renee Gouzenne 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 Renee Gouzenne, MD 721 Corinthian Pl, Charlotte, NC 28211-2471 Ph: (704) 806-9865	Dr Stacey Renee Gouzenne, MD 4221 Tuckaseegee Rd, Charlotte, NC 28208-2801 Ph: (704) 806-9865

Reviews and Comments

Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658
Jacob Leedekerken, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171
Michael Stephen Merrill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 Phone: 704-377-2424 Fax: 704-377-2687
Brian Zachary Hedges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047

Dr Stacey Renee Gouzenne, MD - Medicare Emergency Medicine in Charlotte, NC