Staci Anne Braun, MD is a medicare enrolled "Emergency Medicine" physician in Jefferson, North Carolina. Her current practice location is
200 Hospital Ave, Jefferson, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 846-0789.
Staci Anne Braun is licensed to practice in North Carolina (license number 125740) 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 1669557450.
Physician's Profile
Full Name | Staci Anne Braun |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 200 Hospital Ave, Jefferson, North Carolina |
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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: 1669557450
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 08/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 4789641028
- Enrollment ID: I20050523000833
Medical Identifiers
Medical identifiers for Staci Anne Braun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669557450 | NPI | - | NPPES |
5903129 | Medicaid | NC | |
140YU | Other | NC | BLUE CROSS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 125740 (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. Staci Anne Braun allows following entities to bill medicare on her behalf.
Entity Name | Eventus Wholehealth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
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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. Staci Anne Braun 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 |
Staci Anne Braun, MD 170 Country Side Acres Dr, West Jefferson, NC 28694-7360 Ph: (336) 877-3229 | Staci Anne Braun, MD 200 Hospital Ave, Jefferson, NC 28640 Ph: (336) 846-0789 |
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