Stacey Marie Tallo, in Georgetown, SC - Medicare Nurse Practitioner

Stacey Marie Tallo, is a medicare enrolled "Nurse Practitioner - Family" in Georgetown, South Carolina. Her current practice location is 1068 N Fraser St, Georgetown, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 545-7200.

Stacey Marie Tallo is licensed to practice in South Carolina (license number 28666) 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 1659151157.

Contact Information

	Stacey Marie Tallo,
	1068 N Fraser St, Georgetown, SC 29440-2849
	(843) 545-7200
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey Marie Tallo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1068 N Fraser St, Georgetown, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659151157
Provider Enumeration Date: 10/02/2023
Last Update Date: 01/08/2025

Medicare PECOS Information:

PECOS PAC ID: 9830613330
Enrollment ID: I20250407000523

Medical Identifiers

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

Identifier	Type	State	Issuer
1659151157	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28666 (South Carolina)	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 Marie Tallo allows following entities to bill medicare on her behalf.

Entity Name	Novant Health Urgent Cares Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841026382 PECOS PAC ID: 8628502598 Enrollment ID: O20241114002376

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 Marie Tallo 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 Marie Tallo, 1068 N Fraser St, Georgetown, SC 29440-2849 Ph: (317) 496-3143	Stacey Marie Tallo, 1068 N Fraser St, Georgetown, SC 29440-2849 Ph: (843) 545-7200

Reviews and Comments

Nurse Practitioner Nurses in Georgetown, SC

Ms. Angela Carter Sheridan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-651-0044 Fax: 843-357-0766
Erica Kouns, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 N Fraser St, Georgetown, SC 29440 Phone: 843-692-1000
Erika Honeycutt, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57 Jessamine Ave, Georgetown, SC 29440 Phone: 843-546-8686
Melissa Baker Patterson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-3428
Darlene Arnette Fludd, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2482 Powell Rd, Georgetown, SC 29440 Phone: 843-887-3274 Fax: 843-887-3817
Kesha Lynnette Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8189 Choppee Rd, Georgetown, SC 29440 Phone: 843-545-8723 Fax: 843-545-8346
Brian Joseph Griggs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 Fax: 843-520-8403

Stacey Marie Tallo, - Medicare Nurse Practitioner in Georgetown, SC