Mrs Stephanie Diane Lilly, PMHNP-BC, FNP-BC in Fort Walton Beach, FL

Mrs Stephanie Diane Lilly, PMHNP-BC, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fort Walton Beach, Florida. Her current practice location is 1702 Conservation Trl Unit 104, Fort Walton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (304) 731-5195.

Mrs Stephanie Diane Lilly is licensed to practice in West Virginia (license number APRN79287-FNP-BC) 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 1194200147.

Contact Information

	Mrs Stephanie Diane Lilly, PMHNP-BC, FNP-BC
	1702 Conservation Trl Unit 104, Fort Walton Beach, FL 32547-5087
	(304) 731-5195
	(202) 951-6439

Map and Direction

Provider's Profile

Full Name	Mrs Stephanie Diane Lilly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1702 Conservation Trl Unit 104, Fort Walton Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194200147
Provider Enumeration Date: 09/26/2018
Last Update Date: 03/06/2024

Medicare PECOS Information:

PECOS PAC ID: 3779828496
Enrollment ID: I20240425000175

Medical Identifiers

Medical identifiers for Mrs Stephanie Diane Lilly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194200147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN79287-FNP-BC (West Virginia)	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 Stephanie Diane Lilly allows following entities to bill medicare on her behalf.

Entity Name	Spring Leaf Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811495567 PECOS PAC ID: 4981940178 Enrollment ID: O20190109000537

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 Stephanie Diane Lilly 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 Stephanie Diane Lilly, PMHNP-BC, FNP-BC 1702 Conservation Trl Unit 104, Fort Walton Beach, FL 32547-5087 Ph: (304) 731-5195	Mrs Stephanie Diane Lilly, PMHNP-BC, FNP-BC 1702 Conservation Trl Unit 104, Fort Walton Beach, FL 32547-5087 Ph: (304) 731-5195

Reviews and Comments

Nurse Practitioner Nurses in Fort Walton Beach, FL

Celeste Ann Macdonald, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-431-6183 Fax: 850-431-6497
Brittany Nicole Grimes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-8100 Fax: 850-243-0594
Sylvia Wages, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-226-6801 Fax: 877-413-5104
Robert Nicholas Donofrio, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-833-7451 Fax: 850-833-7439
Emily Herman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 Green Acres Rd Ste 103, Fort Walton Beach, FL 32547 Phone: 850-862-2385
Julie Clausen Powell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Cvs Minute Clinic, Fort Walton Beach, FL 32547 Phone: 850-863-8219 Fax: 850-863-8249
Anne Marie Crow, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FL 32547 Phone: 850-243-0118 Fax: 850-243-0594

Mrs Stephanie Diane Lilly, PMHNP-BC, FNP-BC - Medicare Nurse Practitioner in Fort Walton Beach, FL