Stacey A Hertz, PAAA is a medicare enrolled "Anesthesiology" in Atlanta, Georgia. She went to Emory University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Mak Anesthesia Holdings, Llc and her current practice location is
1365 Clifton Rd Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 778-4852.
Stacey A Hertz is licensed to practice in Georgia (license number 2690) 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 1376578229.
Provider's Profile
Full Name | Stacey A Hertz |
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Gender | Female |
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Speciality | Anesthesiology Assistant |
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Experience | 29 Years |
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Location | 1365 Clifton Rd Ne, Atlanta, Georgia |
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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:
- Stacey A Hertz attended and graduated from Emory University School Of Medicine in 1995
NPI Data:
- NPI Number: 1376578229
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 11/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234304734
- Enrollment ID: I20111212000859
Medical Identifiers
Medical identifiers for Stacey A Hertz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376578229 | NPI | - | NPPES |
10000327A | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367H00000X | Anesthesiologist Assistant | 002690 (Georgia) | Secondary |
207L00000X | Anesthesiology | 2690 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
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. Stacey A Hertz allows following entities to bill medicare on her behalf.
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
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Entity Name | Emory Specialty Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
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Entity Name | Mak Anesthesia Holdings, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
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Entity Name | Piedmont Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
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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. Stacey A Hertz 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 |
Stacey A Hertz, PAAA 550 Peachtree St Ne Bldg 2nd, Atlanta, GA 30308-2247 Ph: (404) 686-2316 | Stacey A Hertz, PAAA 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 Ph: (404) 778-4852 |
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