Stacey Darrisaw, RN, CCM is a
Case Management based in Columbus, Georgia. Stacey Darrisaw is licensed to practice in Georgia (license number RN124631) and her current practice location is
2020 7th Ave, Columbus, Georgia. She can be reached at her office (for appointments etc.) via phone at
(762) 822-1242.
NPI number for Stacey Darrisaw is 1104448281 and her current mailing address is 49 Westwood Way, Fortson, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104448281.
Provider's Profile
| Full Name | Stacey Darrisaw |
|---|
| Gender | Female |
|---|
| Speciality | Case Management |
|---|
| Location | 2020 7th Ave, Columbus, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104448281
- Provider Enumeration Date: 05/12/2020
- Last Update Date: 05/12/2020
Medical Identifiers
Medical identifiers for Stacey Darrisaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104448281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC0400X | Registered Nurse - Case Management | RN124631 (Georgia) | Secondary |
| 171M00000X | Case Manager/care Coordinator | RN124631 (Georgia) | Secondary |
| 251B00000X | Case Management | RN124631 (Georgia) | Primary |
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 Darrisaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacey Darrisaw, RN, CCM
49 Westwood Way,
Fortson, GA 31808-6069
Ph: (762) 822-1242 | Stacey Darrisaw, RN, CCM
2020 7th Ave,
Columbus, GA 31904-8914
Ph: (762) 822-1242 |
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