Stacey Joy Haynes Mcclintick, is a medicare enrolled "Internal Medicine" physician in Ft. Meade, Maryland. Her current practice location is
2480 Llewellyn Ave, Ft. Meade, Maryland. You can reach out to her office (for appointments etc.) via phone at
(912) 349-9945.
Stacey Joy Haynes Mcclintick is licensed to practice in Virginia (license number 0101261652) 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 1871988337.
Physician's Profile
Full Name | Stacey Joy Haynes Mcclintick |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 2480 Llewellyn Ave, Ft. Meade, Maryland |
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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: 1871988337
- Provider Enumeration Date: 04/01/2015
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062767700
- Enrollment ID: I20180620001457
Medical Identifiers
Medical identifiers for Stacey Joy Haynes Mcclintick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871988337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 0101261652 (Virginia) | Primary |
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 Joy Haynes Mcclintick 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 Joy Haynes Mcclintick, 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 | Stacey Joy Haynes Mcclintick, 2480 Llewellyn Ave, Ft. Meade, MD 20755 Ph: (912) 349-9945 |
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