Mrs Stacy Renee Green, NURSE PRACTITIONER in Leavenworth, KS

Mrs Stacy Renee Green, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Leavenworth, Kansas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emergent Care Plus Of Overland Park Llc and her current practice location is 1100 N 4th St, Leavenworth, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 297-9945.

Mrs Stacy Renee Green is licensed to practice in Kansas (license number 5380729022) 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 1437818135.

Contact Information

	Mrs Stacy Renee Green, NURSE PRACTITIONER
	1100 N 4th St, Leavenworth, KS 66048-1572
	(913) 297-9945
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stacy Renee Green
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1100 N 4th St, Leavenworth, Kansas
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 Stacy Renee Green graduated from nursing school in 2020

NPI Data:

NPI Number: 1437818135
Provider Enumeration Date: 12/10/2021
Last Update Date: 12/10/2021

Medicare PECOS Information:

PECOS PAC ID: 8527451889
Enrollment ID: I20220209000375

Medical Identifiers

Medical identifiers for Mrs Stacy Renee Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437818135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2021029668 (Missouri)	Secondary
363L00000X	Nurse Practitioner	5380729022 (Kansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergent Care Plus Of Overland Park Llc	8123153939	18

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 Renee Green allows following entities to bill medicare on her behalf.

Entity Name	Emergent Care Plus Of Overland Park Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811224371 PECOS PAC ID: 8123153939 Enrollment ID: O20100318000649

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 Renee Green 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 Renee Green, NURSE PRACTITIONER 9712 E 69th St, Raytown, MO 64133-5945 Ph: (816) 213-4601	Mrs Stacy Renee Green, NURSE PRACTITIONER 1100 N 4th St, Leavenworth, KS 66048-1572 Ph: (913) 297-9945

Reviews and Comments

Nurse Practitioner Nurses in Leavenworth, KS

William Maxime Buron Iii, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 S 4th St, Leavenworth, KS 66048 Phone: 913-680-6220 Fax: 816-943-2767
Briana Elise Pina, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 Limit St, Leavenworth, KS 66048 Phone: 866-389-2727
Mr. Leo-anthony Nnamdi Ojini, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000
Elizabeth Hileman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Limit St, Leavenworth, KS 66048 Phone: 913-682-5118
Mrs. Crystal Nicosia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Limit St, Leavenworth, KS 66048 Phone: 866-389-2727
Ms. Sharon L Saim, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th Trafficway, Leavenworth, KS 66048 Phone: 913-682-2000
Paul Joy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1288 Eisenhower Rd, Leavenworth, KS 66048 Phone: 913-727-1039

Mrs Stacy Renee Green, NURSE PRACTITIONER - Medicare Nurse Practitioner in Leavenworth, KS