Mrs Staci Sithembile Harris, NP in Wilmington, NC

Mrs Staci Sithembile Harris, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Wilmington, North Carolina. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Liberty Healthcare Group, Llc and her current practice location is 2550 S 41st St, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 695-1421.

Mrs Staci Sithembile Harris is licensed to practice in North Carolina (license number 5009104) 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 1134679012.

Contact Information

	Mrs Staci Sithembile Harris, NP
	2550 S 41st St, Wilmington, NC 28403-5519
	(704) 695-1421
	(704) 694-7748

Map and Direction

Provider's Profile

Full Name	Mrs Staci Sithembile Harris
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	2550 S 41st St, Wilmington, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Staci Sithembile Harris graduated from nursing school in 2016

NPI Data:

NPI Number: 1134679012
Provider Enumeration Date: 10/04/2016
Last Update Date: 02/22/2021

Medicare PECOS Information:

PECOS PAC ID: 8325317993
Enrollment ID: I20170713001236

Medical Identifiers

Medical identifiers for Mrs Staci Sithembile Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134679012	NPI	-	NPPES
0000000	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	5009104 (North Carolina)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	20490 (South Carolina)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	5009104 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Liberty Healthcare Group, Llc	4587574355	9

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. Mrs Staci Sithembile Harris allows following entities to bill medicare on her behalf.

Entity Name	Liberty Healthcare Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629217856 PECOS PAC ID: 4587574355 Enrollment ID: O20090428000566

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. Mrs Staci Sithembile Harris 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
Mrs Staci Sithembile Harris, NP 2334 South 41st Street, Liberty Healthcare Group, Wilmington, NC 28403 Ph: (704) 695-1421	Mrs Staci Sithembile Harris, NP 2550 S 41st St, Wilmington, NC 28403-5519 Ph: (704) 695-1421

Reviews and Comments

Nurse Practitioner Nurses in Wilmington, NC

Travis Aaron Finkle, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2909 Market St, Wilmington, NC 28403 Phone: 910-687-4888
Carolyn Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970
Valerie Lynn Wegener, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8108b Market St, Wilmington, NC 28411 Phone: 910-341-3300 Fax: 910-251-2067
Nannette B Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-772-9202 Fax: 910-772-9452
Elizabeth Granger, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970
Kelly B Miller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2334 41st St, Wilmington, NC 28403 Phone: 910-641-4095
Todd Alan Stugart, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2311 Delaney Ave, Wilmington, NC 28403 Phone: 910-762-8754 Fax: 910-762-0778

Mrs Staci Sithembile Harris, NP - Medicare Nurse Practitioner in Wilmington, NC