Brandi L Stacy, APRN | |
2003 S 7th St, Hickman, KY 42050-1841 | |
(270) 236-3337 | |
(270) 236-3340 |
Full Name | Brandi L Stacy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 2003 S 7th St, Hickman, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760722144 | NPI | - | NPPES |
7100237310 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3007706 (Kentucky) | Secondary |
363L00000X | Nurse Practitioner | 3007706 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson Purchase Medical Center | Mayfield, KY | Hospital |
Lourdes Hospital | Paducah, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Kentucky Specialty Care Llc | 1456777069 | 99 |
Pinelake Physician Practice Llc | 6800797507 | 34 |
Entity Name | Pinelake Physician Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295960532 PECOS PAC ID: 6800797507 Enrollment ID: O20040115001094 |
Entity Name | Vitae Health Medical Kentucky, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629600879 PECOS PAC ID: 3173952637 Enrollment ID: O20200403001181 |
Entity Name | Mercy Health Physicians Kentucky Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700408093 PECOS PAC ID: 1456777069 Enrollment ID: O20200813001096 |
Entity Name | Geriatric Essentials Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003086307 PECOS PAC ID: 7517044233 Enrollment ID: O20200915001770 |
Mailing Address | Practice Location Address |
---|---|
Brandi L Stacy, APRN 330 Seven Springs Way, Brentwood, TN 37027-5098 Ph: (615) 920-7000 | Brandi L Stacy, APRN 2003 S 7th St, Hickman, KY 42050-1841 Ph: (270) 236-3337 |
Allie Alexander-lusk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2003 S 7th St, Hickman, KY 42050 Phone: 270-236-3337 Fax: 270-236-3340 |