Stacey A Stroud, PA is a medicare enrolled "Physician Assistant" in Mt. Juliet, Tennessee. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Heritage Medical Associates Pc and her current practice location is
660 South Mt. Juliet Road, Suite 100, Mt. Juliet, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(629) 255-2075.
Stacey A Stroud is licensed to practice in Tennessee (license number PA0000000620) 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 1912910142.
Provider's Profile
Full Name | Stacey A Stroud |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 27 Years |
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Location | 660 South Mt. Juliet Road, Mt. Juliet, Tennessee |
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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 Stroud graduated from nursing school in 1997
NPI Data:
- NPI Number: 1912910142
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 10/26/2017
Medicare PECOS Information:
- PECOS PAC ID: 0840244091
- Enrollment ID: I20050310000162
Medical Identifiers
Medical identifiers for Stacey A Stroud such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912910142 | NPI | - | NPPES |
3381621 | Medicaid | TN | |
Q012341 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA0000000620 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Heritage Medical Associates Pc | 4688651037 | 159 |
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 Stroud 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 Stroud, PA 222 22nd Ave N, Nashville, TN 37203-1852 Ph: (629) 255-3486 | Stacey A Stroud, PA 660 South Mt. Juliet Road, Suite 100, Mt. Juliet, TN 37122 Ph: (629) 255-2075 |
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