Stacie Quedenfeld, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Orlando, Florida. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Healthcare Services Inc, Primary Care Of Central Florida Inc and her current practice location is
12301 Lake Underhill Rd Ste 215, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 235-0692.
Stacie Quedenfeld is licensed to practice in Florida (license number APRN11002198) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407410970.
Physician's Profile
Full Name | Stacie Quedenfeld |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 5 Years |
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Location | 12301 Lake Underhill Rd Ste 215, Orlando, Florida |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stacie Quedenfeld graduated from medical school in 2019
NPI Data:
- NPI Number: 1407410970
- Provider Enumeration Date: 04/30/2019
- Last Update Date: 10/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618385303
- Enrollment ID: I20210419000843
Medical Identifiers
Medical identifiers for Stacie Quedenfeld such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407410970 | NPI | - | NPPES |
APRN11002198 | Other | FL | FLORIDA LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 11002198 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11002198 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Primary Care Of Central Florida Inc | 8628094018 | 33 |
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. Stacie Quedenfeld allows following entities to bill medicare on her behalf.
Entity Name | Primary Care Of Central Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205903432 PECOS PAC ID: 8628094018 Enrollment ID: O20051014000365 |
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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. Stacie Quedenfeld 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 |
Stacie Quedenfeld, APRN 7620 Lake Underhill Rd, Orlando, FL 32822-8223 Ph: (321) 235-0692 | Stacie Quedenfeld, APRN 12301 Lake Underhill Rd Ste 215, Orlando, FL 32828-4511 Ph: (321) 235-0692 |
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