Mrs Stacy Leann Fiske, FNP-C is a medicare enrolled "Nurse Practitioner" in Eminence, Missouri. Her current practice location is
17959 Main Street, Eminence, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 226-5505.
Mrs Stacy Leann Fiske is licensed to practice in Missouri (license number 2023030046) 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 1760164412.
Provider's Profile
Full Name | Mrs Stacy Leann Fiske |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 17959 Main Street, Eminence, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760164412
- Provider Enumeration Date: 08/02/2023
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719331750
- Enrollment ID: I20230926001170
Medical Identifiers
Medical identifiers for Mrs Stacy Leann Fiske such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760164412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 2023030046 (Missouri) | 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. Mrs Stacy Leann Fiske allows following entities to bill medicare on her behalf.
Entity Name | Big Springs Medical Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695 |
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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 Stacy Leann Fiske 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 Stacy Leann Fiske, FNP-C 20067 Bearclaw Rd, Eunice, MO 65468-6804 Ph: (417) 247-0677 | Mrs Stacy Leann Fiske, FNP-C 17959 Main Street, Eminence, MO 65466 Ph: (573) 226-5505 |
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