Stacey Ilyse Brown, PT, DPT is a medicare enrolled "Physical Therapist" physician in Devon, Pennsylvania. Her current practice location is
890 Lancaster Ave, Devon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 225-2451.
Stacey Ilyse Brown is licensed to practice in Pennsylvania (license number PT022212) 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 1417200973.
Physician's Profile
Full Name | Stacey Ilyse Brown |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 890 Lancaster Ave, Devon, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417200973
- Provider Enumeration Date: 10/22/2012
- Last Update Date: 12/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 5597917922
- Enrollment ID: I20121212000180
Medical Identifiers
Medical identifiers for Stacey Ilyse Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417200973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 40QA01467900 (Pennsylvania) | Secondary |
225100000X | Physical Therapist | PT022212 (Pennsylvania) | 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. Stacey Ilyse Brown allows following entities to bill medicare on her behalf.
Entity Name | Ivyrehab Network Inc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
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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. Stacey Ilyse Brown 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 |
Stacey Ilyse Brown, PT, DPT 890 Lancaster Ave, Devon, PA 19333-2360 Ph: (610) 225-2451 | Stacey Ilyse Brown, PT, DPT 890 Lancaster Ave, Devon, PA 19333-2360 Ph: (610) 225-2451 |
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