Dr Stefanie Nicole Rust, DO - Medicare Family Practice in Ennis, TX

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Dr Stefanie Nicole Rust, DO is a medicare enrolled "Emergency Medicine" physician in Ennis, Texas. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southeastern Emergency Physicians Llc, Northeast Arkansas Clinic Charitable Foundation, Inc. and her current practice location is 2201 West Lampasas Street, Ennis, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 875-0900.

Dr Stefanie Nicole Rust is licensed to practice in Arkansas (license number E8294) 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 1154684355.

Contact Information

Dr Stefanie Nicole Rust, DO
2201 West Lampasas Street,
Ennis, TX 75119
(972) 875-0900
(469) 256-2154

Map and Direction




Physician's Profile

Full NameDr Stefanie Nicole Rust
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location2201 West Lampasas Street, Ennis, Texas
Accepts Medicare AssignmentsYes. 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 Stefanie Nicole Rust graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1154684355
  • Provider Enumeration Date: 06/21/2012
  • Last Update Date: 01/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9537398573
  • Enrollment ID: I20140214001065

Medical Identifiers

Medical identifiers for Dr Stefanie Nicole Rust such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154684355NPI-NPPES
201593001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine Q4269 (Texas)Secondary
207Q00000XFamily Medicine E8294 (Arkansas)Secondary
207P00000XEmergency Medicine E8294 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997516
Northeast Arkansas Clinic Charitable Foundation, Inc.2961547526247

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 Stefanie Nicole Rust allows following entities to bill medicare on her behalf.
Entity NameDewitt Hospital & Nursing Home Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972586238
PECOS PAC ID: 2961307616
Enrollment ID: O20040505001357
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050418001201
Entity NameArkansas Emergency Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774630
PECOS PAC ID: 3274681341
Enrollment ID: O20090501000014
Entity NameNortheast Arkansas Clinic Charitable Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861721839
PECOS PAC ID: 2961547526
Enrollment ID: O20100315000190
Entity NameEss Hospitalist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881967305
PECOS PAC ID: 6103085295
Enrollment ID: O20120308000726
Entity NameApp Of Arkansas Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336698828
PECOS PAC ID: 1153601463
Enrollment ID: O20161202000951
Entity NameWhite Hall Walk In Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225576382
PECOS PAC ID: 1153699509
Enrollment ID: O20170608000573

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 Stefanie Nicole Rust 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 AddressPractice Location Address
Dr Stefanie Nicole Rust, DO
2201 West Lampasas Street,
Ennis, TX 75119

Ph: (972) 875-0900		Dr Stefanie Nicole Rust, DO
2201 West Lampasas Street,
Ennis, TX 75119

Ph: (972) 875-0900

Reviews and Comments


Emergency Medicine Doctors in Ennis, TX

Craig S Yetter, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2203 W Lampasas St Ste 202, Ennis, TX 75119
Phone: 972-875-8833    Fax: 972-875-8866
Dr. Neal A Zeigler, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 Dolfie Ln, Suite 101, Ennis, TX 75119
Phone: 972-875-4500    
Daphne D Fullerton, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 803 W Lampasas St, Ennis, TX 75119
Phone: 800-893-9698    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.