Stacy Lynn Fennell, DO - Medicare General Practice in Fort Sam Houston, TX

  1. Home
  2. General Practice
  3. TX
  4. Fort Sam Houston
Stacy Lynn Fennell, DO is a medicare enrolled "General Practice" physician in Fort Sam Houston, Texas. Her current practice location is 3851 Roger Brooke Dr, Mche-emr, Fort Sam Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 292-7626.

Stacy Lynn Fennell is licensed to practice in Indiana (license number 02004134A) 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 1477846582.

Contact Information

Stacy Lynn Fennell, DO
3851 Roger Brooke Dr, Mche-emr,
Fort Sam Houston, TX 78234-4501
(210) 292-7626
Not Available

Map and Direction




Physician's Profile

Full NameStacy Lynn Fennell
GenderFemale
SpecialityGeneral Practice
Location3851 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477846582
  • Provider Enumeration Date: 05/23/2011
  • Last Update Date: 05/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4789932617
  • Enrollment ID: I20180808002680

Medical Identifiers

Medical identifiers for Stacy Lynn Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477846582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 02004134A (Indiana)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. Stacy Lynn Fennell allows following entities to bill medicare on her behalf.
Entity NameInova Health Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20040102000644
Entity NameCommonwealth Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598723082
PECOS PAC ID: 7618870312
Enrollment ID: O20141104000471

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 Lynn Fennell 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
Stacy Lynn Fennell, DO
8344 Versailles Se Rd,
Bradford, OH 45308-9602

Ph: (937) 974-8352		Stacy Lynn Fennell, DO
3851 Roger Brooke Dr, Mche-emr,
Fort Sam Houston, TX 78234-4501

Ph: (210) 292-7626

Reviews and Comments


General Practice Doctors in Fort Sam Houston, TX

Kole Holland Spaulding, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-539-9582    
Dr. Ewell Maydell Hollis Iii, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-916-5586    
Dr. Patrick John Matthews, D.O
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Graduate Medical Education, Fort Sam Houston, TX 78234
Phone: 210-916-8666    
Kelley Marie Sonney, DO
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-916-3160    
Kevin Lee, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-916-8666    
Elizabeth Koslow, D.O.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-539-9582    
Dr. Thomas Mitchell, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-916-0439    

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.