Matthew Stacy, APRN in Fort Worth, TX - Medicare Nurse Practitioner

Matthew Stacy, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Worth, Texas. His current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-3431.

Matthew Stacy is licensed to practice in Texas (license number 1112932) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861192346.

Contact Information

	Matthew Stacy, APRN
	1500 S Main St, Fort Worth, TX 76104-4917
	(817) 702-3431
	Not Available

Map and Direction

Provider's Profile

Full Name	Matthew Stacy
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	1500 S Main St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861192346
Provider Enumeration Date: 03/03/2023
Last Update Date: 04/04/2023

Medicare PECOS Information:

PECOS PAC ID: 4486019601
Enrollment ID: I20230422000034

Medical Identifiers

Medical identifiers for Matthew Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861192346	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	835430 (Texas)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	1112932 (Texas)	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. Matthew Stacy allows following entities to bill medicare on his behalf.

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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. Matthew Stacy 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
Matthew Stacy, APRN 9505 Drovers View Trl, Fort Worth, TX 76131-3129 Ph: (817) 229-7646	Matthew Stacy, APRN 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-3431

Reviews and Comments

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Matthew Stacy, APRN - Medicare Nurse Practitioner in Fort Worth, TX