Stacy L Mcclure, MD is a medicare enrolled "Dermatology" physician in La Grange Highlands, Illinois. She went to University Of Texas Medical School At San Antonio and graduated in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Dermatology Associates Of Lagrange Sc and her current practice location is
5201 Willow Springs Rd, Suite 430, La Grange Highlands, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 482-3213.
Stacy L Mcclure is licensed to practice in Illinois (license number 036) 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 1821002692.
Physician's Profile
| Full Name | Stacy L Mcclure |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 24 Years |
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| Location | 5201 Willow Springs Rd, La Grange Highlands, Illinois |
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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. |
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Medical Education and Training:
- Stacy L Mcclure attended and graduated from University Of Texas Medical School At San Antonio in 2000
NPI Data:
- NPI Number: 1821002692
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 09/17/2012
Medicare PECOS Information:
- PECOS PAC ID: 5597761874
- Enrollment ID: I20061010000209
Medical Identifiers
Medical identifiers for Stacy L Mcclure such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821002692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 036 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 036 (Illinois) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dermatology Associates Of Lagrange Sc | 7113830951 | 24 |
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. Stacy L Mcclure allows following entities to bill medicare on her behalf.
| Entity Name | Dermatology Associates Of Lagrange Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780795856
PECOS PAC ID: 7113830951
Enrollment ID: O20031107000646 |
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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. Stacy L Mcclure 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 |
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Stacy L Mcclure, MD
5201 Willow Springs Rd, Suite 430,
La Grange Highlands, IL 60525-6537
Ph: (708) 482-3213 | Stacy L Mcclure, MD
5201 Willow Springs Rd, Suite 430,
La Grange Highlands, IL 60525-6537
Ph: (708) 482-3213 |
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