Staci L Tanouye, MD - Medicare Obstetrics & Gynecology in Jacksonville Beach, FL

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Staci L Tanouye, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Jacksonville Beach, Florida. Her current practice location is 1361 13th Ave S Ste &110&115, Jacksonville Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 247-5514.

Staci L Tanouye is licensed to practice in Florida (license number ME117299) 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 1679739775.

Contact Information

Staci L Tanouye, MD
1361 13th Ave S Ste &110&115,
Jacksonville Beach, FL 32250-3233
(904) 247-5514
(904) 247-3363

Map and Direction




Physician's Profile

Full NameStaci L Tanouye
GenderFemale
SpecialityObstetrics & Gynecology
Location1361 13th Ave S Ste &110&115, Jacksonville Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679739775
  • Provider Enumeration Date: 07/29/2008
  • Last Update Date: 06/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294880191
  • Enrollment ID: I20131206000181

Medical Identifiers

Medical identifiers for Staci L Tanouye such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679739775NPI-NPPES
010025600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 52096 (Minnesota)Secondary
207V00000XObstetrics & Gynecology ME117299 (Florida)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 L Tanouye allows following entities to bill medicare on her behalf.
Entity NameWomens Care Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013902923
PECOS PAC ID: 9234031444
Enrollment ID: O20040127000078
Entity NameWomens' Health Hospitalists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205295599
PECOS PAC ID: 1850674870
Enrollment ID: O20170216001354

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 L Tanouye 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 AddressPractice Location Address
Staci L Tanouye, MD
Po Box 748817,
Atlanta, GA 30374-8817

Ph: (813) 286-0033		Staci L Tanouye, MD
1361 13th Ave S Ste &110&115,
Jacksonville Beach, FL 32250-3233

Ph: (904) 247-5514

Reviews and Comments


Obstetrics & Gynecology Doctors in Jacksonville Beach, FL

Patricia A. Schroeder, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1375 Roberts Dr Ste 206, Jacksonville Beach, FL 32250
Phone: 904-247-1456    Fax: 904-247-2281
Lee Brandon Epstein, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 228 3rd Avenue South, Suite 100, Jacksonville Beach, FL 32250
Phone: 904-853-6130    Fax: 904-853-5031
Dr. James V O'leary, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1361 13th Ave S Ste &110&115, Jacksonville Beach, FL 32250
Phone: 904-247-5514    Fax: 904-247-3363
Leandro I Rodriguez, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1577 Roberts Drive, Suite #323, Jacksonville Beach, FL 32250
Phone: 904-241-9775    Fax: 904-249-3638
Marijane Q. Boyd, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1375 Roberts Dr Ste 206, Jacksonville Beach, FL 32250
Phone: 904-247-1456    Fax: 904-247-2281
Calvin Cameron Greene, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1361 13th Ave S Ste 110&115, Jacksonville Beach, FL 32250
Phone: 904-247-5514    Fax: 904-247-3363

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.