Mrs Stacy Marie Palmer, DNP, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Oklahoma, Oklahoma. Her current practice location is
4296 N. Harrison Street, Oklahoma, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 788-4102.
Mrs Stacy Marie Palmer is licensed to practice in Oklahoma (license number 219967) 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 1316771538.
Provider's Profile
Full Name | Mrs Stacy Marie Palmer |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4296 N. Harrison Street, Oklahoma, Oklahoma |
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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: 1316771538
- Provider Enumeration Date: 08/29/2024
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305387887
- Enrollment ID: I20240924003314
Medical Identifiers
Medical identifiers for Mrs Stacy Marie Palmer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316771538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 219967 (Oklahoma) | 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 Marie Palmer allows following entities to bill medicare on her behalf.
Entity Name | Williams Medical Group Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
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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 Marie Palmer 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 Marie Palmer, DNP, APRN, FNP-C 13900 Brutus Blvd, Oklahoma City, OK 73165-8803 Ph: (405) 314-5829 | Mrs Stacy Marie Palmer, DNP, APRN, FNP-C 4296 N. Harrison Street, Oklahoma, OK 73165 Ph: (405) 788-4102 |
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