Stacey Antle, APRN in Granville, OH - Medicare Nurse Practitioner

Stacey Antle, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Granville, Ohio. She went to Ohio Medical University and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hygge Behavioral Health And Wellness Llc and her current practice location is 594 Newark Granville Rd, Granville, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 618-2322.

Stacey Antle is licensed to practice in Ohio (license number APRN.CNP.024830) 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 1336709799.

Contact Information

	Stacey Antle, APRN
	594 Newark Granville Rd, Granville, OH 43023-1436
	(740) 618-2322
	(740) 618-2324

Map and Direction

Provider's Profile

Full Name	Stacey Antle
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	594 Newark Granville Rd, Granville, Ohio
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 Antle attended and graduated from Ohio Medical University in 2019

NPI Data:

NPI Number: 1336709799
Provider Enumeration Date: 06/18/2019
Last Update Date: 01/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0143559849
Enrollment ID: I20190905001603

Medical Identifiers

Medical identifiers for Stacey Antle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336709799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN.CNP.024830 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hygge Behavioral Health And Wellness Llc	4688095789	5

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 Antle allows following entities to bill medicare on her behalf.

Entity Name	Village Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124057914 PECOS PAC ID: 6901049089 Enrollment ID: O20130821001045

Entity Name	Hygge Behavioral Health & Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063041671 PECOS PAC ID: 4688095789 Enrollment ID: O20200527003172

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 Antle 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 Antle, APRN 594 Newark Granville Rd, Granville, OH 43023-1436 Ph: (740) 618-2322	Stacey Antle, APRN 594 Newark Granville Rd, Granville, OH 43023-1436 Ph: (740) 618-2322

Reviews and Comments

Nurse Practitioner Nurses in Granville, OH

Caroline Dora Block-wilkins, PMHNP-BC, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5239 Columbus Rd Ste A, Granville, OH 43023 Phone: 614-924-7412 Fax: 614-683-5850
Katherine L. Montanaro, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 Newark Granville Rd, Granville, OH 43023 Phone: 888-531-7444 Fax: 614-867-9889
Mrs. Megan M Reed, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4122 North St, Granville, OH 43023 Phone: 440-313-8643
Maija Bamford, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 590 Newark Granville Rd, Granville, OH 43023 Phone: 888-531-7444 Fax: 740-888-1374
Caryn Gorby, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 Newark Granville Rd, Granville, OH 43023 Phone: 888-531-7444 Fax: 888-531-7444
Mrs. Alissa Nicole Chapin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 Mannaseh Dr W, Granville, OH 43023 Phone: 614-975-0544
Amy J Klinger, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5239 Columbus Rd Ste A, Granville, OH 43023 Phone: 614-924-7412 Fax: 614-683-5850

Stacey Antle, APRN - Medicare Nurse Practitioner in Granville, OH