Stacey Lim, is a medicare enrolled "Nurse Practitioner - Family" physician in Austin, Texas. Her current practice location is
7302 Ranch Road 2222, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 466-7181.
Stacey Lim is licensed to practice in Texas (license number 1053491) 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 1821724113.
Physician's Profile
Full Name | Stacey Lim |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 7302 Ranch Road 2222, Austin, Texas |
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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: 1821724113
- Provider Enumeration Date: 07/28/2022
- Last Update Date: 09/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496125189
- Enrollment ID: I20221220002792
Medical Identifiers
Medical identifiers for Stacey Lim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821724113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 1053491 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1053491 (Texas) | 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 Lim allows following entities to bill medicare on her behalf.
Entity Name | Global Wound Care Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230513000021 |
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Entity Name | American Wound Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20240326001683 |
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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 Lim 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 Lim, 133 Night Bloom Path, Liberty Hill, TX 78642-2365 Ph: () - | Stacey Lim, 7302 Ranch Road 2222, Austin, TX 78730 Ph: (469) 466-7181 |
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