Stacey Lizette Simmons, in Lawrenceville, GA - Medicare Nurse Practitioner

Stacey Lizette Simmons, is a medicare enrolled "Nurse Practitioner - Family" in Lawrenceville, Georgia. Her current practice location is 2900 University Pkwy, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (716) 472-5201.

Stacey Lizette Simmons is licensed to practice in Georgia (license number RN293134) 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 1770295594.

Contact Information

	Stacey Lizette Simmons,
	2900 University Pkwy, Lawrenceville, GA 30043-4588
	(716) 472-5201
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey Lizette Simmons
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2900 University Pkwy, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770295594
Provider Enumeration Date: 12/23/2022
Last Update Date: 12/23/2022

Medicare PECOS Information:

PECOS PAC ID: 4688011083
Enrollment ID: I20240321000302

Medical Identifiers

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

Identifier	Type	State	Issuer
1770295594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN293134 (Georgia)	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. Stacey Lizette Simmons allows following entities to bill medicare on her behalf.

Entity Name	Mobile Healthcare Providers, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528752383 PECOS PAC ID: 2961840350 Enrollment ID: O20240404000899

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 Lizette Simmons 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 Lizette Simmons, 3545 Broad St Unit 81284, Atlanta, GA 30366-2112 Ph: (716) 472-5201	Stacey Lizette Simmons, 2900 University Pkwy, Lawrenceville, GA 30043-4588 Ph: (716) 472-5201

Reviews and Comments

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Mrs. Susan P Whatley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046 Phone: 770-339-4225
Mrs. Crichton Anne Hollingsworth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Ashley Lydia Mullican, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Katherine A Nguyen, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043 Phone: 678-442-0205

Stacey Lizette Simmons, - Medicare Nurse Practitioner in Lawrenceville, GA