Mr Stacy Wilson, APRN in Venice, FL - Medicare Nurse Practitioner

Mr Stacy Wilson, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Venice, Florida. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Restore Medical Partners Pllc and his current practice location is 333 Tamiami Trl S Ste 101, Venice, Florida. You can reach out to his office (for appointments etc.) via phone at (808) 979-6875.

Mr Stacy Wilson is licensed to practice in Hawaii (license number APRN-2822) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194215244.

Contact Information

	Mr Stacy Wilson, APRN
	333 Tamiami Trl S Ste 101, Venice, FL 34285-2425
	(808) 979-6875
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Stacy Wilson
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	333 Tamiami Trl S Ste 101, Venice, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Stacy Wilson graduated from nursing school in 2018

NPI Data:

NPI Number: 1194215244
Provider Enumeration Date: 05/15/2018
Last Update Date: 10/14/2021

Medicare PECOS Information:

PECOS PAC ID: 1052709490
Enrollment ID: I20211103003337

Medical Identifiers

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

Identifier	Type	State	Issuer
1194215244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	RN9431499 (Florida)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	APRN9431499 (Florida)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	APRN-2822 (Hawaii)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Restore Medical Partners Pllc	1951682426	12

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. Mr Stacy Wilson allows following entities to bill medicare on his behalf.

Entity Name	Restore Medical Partners Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891148250 PECOS PAC ID: 1951682426 Enrollment ID: O20161227000510

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. Mr Stacy Wilson 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
Mr Stacy Wilson, APRN 9973 58th St E, Parrish, FL 34219-4443 Ph: (808) 979-6875	Mr Stacy Wilson, APRN 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 Ph: (808) 979-6875

Reviews and Comments

Nurse Practitioner Nurses in Venice, FL

Felicia Carnevale, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524 Fax: 941-244-9526
Destinee Renee Ogea, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8431 Pointe Loop Dr Fl 1, Venice, FL 34293 Phone: 941-207-5350 Fax: 941-207-5352
Kristy L Petersen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 The Rialto, Venice, FL 34285 Phone: 941-486-6927 Fax: 941-486-6931
Judy Humphreys, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1287 Us Highway 41byp S, Venice, FL 34237 Phone: 941-244-5706 Fax: 941-800-4342
Ms. Kathryn S Collins, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Jacaranda Blvd, Venice, FL 34292 Phone: 844-366-9362
Agata Wawro, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524
Cynthia Beth Gamble, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Nokomis Ave S Ste 207, Venice, FL 34285 Phone: 941-486-6790 Fax: 941-486-6795

Mr Stacy Wilson, APRN - Medicare Nurse Practitioner in Venice, FL