Ms Carletta Stackhouse, MS, ANP in Lynbrook, NY

Ms Carletta Stackhouse, MS, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Lynbrook, New York. Her current practice location is 40 Lawrence Ave, Lynbrook, New York. You can reach out to her office (for appointments etc.) via phone at (516) 253-0035.

Ms Carletta Stackhouse is licensed to practice in New York (license number 307783) 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 1750743746.

Contact Information

	Ms Carletta Stackhouse, MS, ANP
	40 Lawrence Ave, Lynbrook, NY 11563-1830
	(516) 253-0035
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Carletta Stackhouse
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	40 Lawrence Ave, Lynbrook, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750743746
Provider Enumeration Date: 03/28/2016
Last Update Date: 07/14/2022

Medicare PECOS Information:

PECOS PAC ID: 1254618077
Enrollment ID: I20170425002065

Medical Identifiers

Medical identifiers for Ms Carletta Stackhouse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750743746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WH0200X	Registered Nurse - Home Health	524609 (New York)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	307783 (New York)	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. Ms Carletta Stackhouse allows following entities to bill medicare on her behalf.

Entity Name	54 Main Street Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386711497 PECOS PAC ID: 0244217511 Enrollment ID: O20040706000096

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. Ms Carletta Stackhouse 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
Ms Carletta Stackhouse, MS, ANP 339 Hempstead Avenue, Po Box 328, Malverne, NY 11565-0328 Ph: (516) 253-0035	Ms Carletta Stackhouse, MS, ANP 40 Lawrence Ave, Lynbrook, NY 11563-1830 Ph: (516) 253-0035

Reviews and Comments

Nurse Practitioner Nurses in Lynbrook, NY

Mandip Kaur, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 232 Merrick Rd, Lynbrook, NY 11563 Phone: 516-594-5961
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Tamara B Desvarieux, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 95 Pearsall Ave, Lynbrook, NY 11563 Phone: 516-778-1736
Mrs. Margaret M Raftery, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 444 Merrick Rd, Suite 100, Lynbrook, NY 11563 Phone: 516-872-2150
Allison Criscuolo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 444 Merrick Rd Ste 100, Lynbrook, NY 11563 Phone: 516-872-2152
Sylvia Lozada, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 Merrick Rd Ste 206, Lynbrook, NY 11563 Phone: 917-359-1096 Fax: 516-872-1143

Ms Carletta Stackhouse, MS, ANP - Medicare Nurse Practitioner in Lynbrook, NY