Ms Stacey Reynolds Dahl, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Petersburg, Alaska. Her current practice location is
103 Fram Treet, Petersburg, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 772-4291.
Ms Stacey Reynolds Dahl is licensed to practice in Alaska (license number 163327) 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 1396342895.
Provider's Profile
Full Name | Ms Stacey Reynolds Dahl |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 103 Fram Treet, Petersburg, Alaska |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396342895
- Provider Enumeration Date: 10/07/2020
- Last Update Date: 10/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537561063
- Enrollment ID: I20220411001844
Medical Identifiers
Medical identifiers for Ms Stacey Reynolds Dahl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396342895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 163327 (Alaska) | 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 Stacey Reynolds Dahl allows following entities to bill medicare on her behalf.
Entity Name | Carelon Medical Partners, Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20210507001493 |
---|
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 Stacey Reynolds Dahl 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 Stacey Reynolds Dahl, APRN, FNP-C Po Box 1732, Petersburg, AK 99833-1732 Ph: () - | Ms Stacey Reynolds Dahl, APRN, FNP-C 103 Fram Treet, Petersburg, AK 99833-0589 Ph: (907) 772-4291 |
Reviews and Comments