Stacee Lyders, CPNP-PC - Medicare Nurse Practitioner in Tucson, AZ

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Stacee Lyders, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Tucson, Arizona. Her current practice location is 2222 N Craycroft Rd Ste 150, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 202-3488.

Stacee Lyders is licensed to practice in Arizona (license number 228942) 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 1548804206.

Contact Information

Stacee Lyders, CPNP-PC
2222 N Craycroft Rd Ste 150,
Tucson, AZ 85712-2816
(520) 202-3488
(520) 202-3486

Map and Direction




Provider's Profile

Full NameStacee Lyders
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location2222 N Craycroft Rd Ste 150, Tucson, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548804206
  • Provider Enumeration Date: 11/05/2019
  • Last Update Date: 08/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7618303330
  • Enrollment ID: I20200128002592

Medical Identifiers

Medical identifiers for Stacee Lyders such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548804206NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 228942 (Arizona)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. Stacee Lyders allows following entities to bill medicare on her behalf.
Entity NameArizona Community Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205871076
PECOS PAC ID: 4587560552
Enrollment ID: O20031210000500

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. Stacee Lyders 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 AddressPractice Location Address
Stacee Lyders, CPNP-PC
5055 E Broadway Blvd Ste A100,
Tucson, AZ 85711-3629

Ph: (520) 382-1085		Stacee Lyders, CPNP-PC
2222 N Craycroft Rd Ste 150,
Tucson, AZ 85712-2816

Ph: (520) 202-3488

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.