Mark Stacy, in Greenville, NC - Medicare Psychiatry & Neurology

Mark Stacy, is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Greenville, North Carolina. His current practice location is 2280 Hemby Ln, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 744-9400.

Mark Stacy is licensed to practice in North Carolina (license number 2003-00890) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205910171.

Contact Information

	Mark Stacy,
	2280 Hemby Ln, Greenville, NC 27834-3773
	(252) 744-9400
	(252) 744-9401

Map and Direction

Physician's Profile

Full Name	Mark Stacy
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	2280 Hemby Ln, Greenville, 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: 1205910171
Provider Enumeration Date: 10/25/2006
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 9931188711
Enrollment ID: I20100429000414

Medical Identifiers

Medical identifiers for Mark Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205910171	NPI	-	NPPES
135AM	Other	NC	BCBS OF NC
1205910171	Medicaid	NC
NCZ9770322	Other	NC	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	2003-00890 (North Carolina)	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. Mark Stacy allows following entities to bill medicare on his behalf.

Entity Name	Private Diagnostic Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577

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. Mark Stacy 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
Mark Stacy, Po Box 751069, Charlotte, NC 28275-1069 Ph: () -	Mark Stacy, 2280 Hemby Ln, Greenville, NC 27834-3773 Ph: (252) 744-9400

Reviews and Comments

Psychiatry & Neurology Doctors in Greenville, NC

Dr. Khalid Abdelsalam Elnagar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 905 Johns Hopkins Dr, Ecu Physicians Psychiatric Outpatient Center, Greenville, NC 27834 Phone: 252-744-1406 Fax: 252-744-4243
Elham Rahmani, MD, MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 905 Johns Hopkins Dr, Greenville, NC 27834 Phone: 252-744-1406 Fax: 252-744-2419
Dr. Duard Frank Fleming Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-744-9400 Fax: 252-744-9401
Bertha Bowen Hambidge, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2602 Courtier Dr, Greenville, NC 27834 Phone: 252-752-0483
Mateusz Broszko, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2577 W 5th St, Greenville, NC 27834 Phone: 252-830-3426
Judith Salle Yongue, MD PA Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 107 Commerce St, Suite D, Greenville, NC 27858 Phone: 252-355-2768 Fax: 252-355-0403
Dr. Diana J Antonacci, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 905 Johns Hopkins Dr, Ecu Physicians Psychiatric Medicine- Outpatient Clinic, Greenville, NC 27834 Phone: 252-744-1406 Fax: 252-744-2419

Mark Stacy, - Medicare Psychiatry & Neurology in Greenville, NC