Dr Stacie A Mcmurtry, MD is a medicare enrolled "Allergy & Immunology" physician in Libertyville, Illinois. Her current practice location is
1800 Hollister Dr Ste 210, Libertyville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 549-7711.
Dr Stacie A Mcmurtry is licensed to practice in Illinois (license number 036092889) 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 1407955214.
Physician's Profile
| Full Name | Dr Stacie A Mcmurtry |
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| Gender | Female |
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| Speciality | Allergy & Immunology |
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| Location | 1800 Hollister Dr Ste 210, Libertyville, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407955214
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719353739
- Enrollment ID: I20221017001853
Medical Identifiers
Medical identifiers for Dr Stacie A Mcmurtry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407955214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207KA0200X | Allergy & Immunology - Allergy | 036092889 (Illinois) | Secondary |
| 207K00000X | Allergy & Immunology | 036092889 (Illinois) | 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. Dr Stacie A Mcmurtry allows following entities to bill medicare on her behalf.
| Entity Name | Psf Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881785947
PECOS PAC ID: 1557265543
Enrollment ID: O20221013002049 |
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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 Stacie A Mcmurtry 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 |
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Dr Stacie A Mcmurtry, MD
9800 Shelbyville Rd, Ste 220,
Louisville, KY 40223-2992
Ph: (502) 429-8585 | Dr Stacie A Mcmurtry, MD
1800 Hollister Dr Ste 210,
Libertyville, IL 60048-5266
Ph: (847) 549-7711 |
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