Staci Leigh Cassidy, NP - Medicare Nurse Practitioner in Hartsville, SC

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Staci Leigh Cassidy, NP is a medicare enrolled "Nurse Practitioner - Family" in Hartsville, South Carolina. Her current practice location is 1268 S 4th St, Hartsville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 332-3422.

Staci Leigh Cassidy is licensed to practice in South Carolina (license number 24579) 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 1043892920.

Contact Information

Staci Leigh Cassidy, NP
1268 S 4th St,
Hartsville, SC 29550-0703
(843) 332-3422
(843) 332-3985

Map and Direction




Provider's Profile

Full NameStaci Leigh Cassidy
GenderFemale
SpecialityNurse Practitioner - Family
Location1268 S 4th St, Hartsville, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043892920
  • Provider Enumeration Date: 04/21/2021
  • Last Update Date: 03/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9537565056
  • Enrollment ID: I20210909000890

Medical Identifiers

Medical identifiers for Staci Leigh Cassidy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043892920NPI-NPPES
SCL032OtherMEDICARE
NP7760MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 24579 (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. Staci Leigh Cassidy allows following entities to bill medicare on her behalf.
Entity NameCaresouth Carolina Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720082571
PECOS PAC ID: 1052221314
Enrollment ID: O20040511000280

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. Staci Leigh Cassidy 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 AddressPractice Location Address
Staci Leigh Cassidy, NP
Po Box 1090,
Hartsville, SC 29551-1090

Ph: (843) 337-7553		Staci Leigh Cassidy, NP
1268 S 4th St,
Hartsville, SC 29550-0703

Ph: (843) 332-3422

Reviews and Comments


Nurse Practitioner Nurses in Hartsville, SC

Mrs. Zita Acuna Andreski, APRN FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1268 S 4th St, Hartsville, SC 29550
Phone: 843-332-3422    Fax: 843-332-3985
Ms. Gyetri Mitchell, MSN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550
Phone: 843-339-4600    
Mr. Robert Alexander Campbell Jr., FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 701 Medical Park Dr Ste 207, Hartsville, SC 29550
Phone: 843-383-5191    Fax: 843-332-9229
Katelon Marie Smith, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1268 S 4th St, Hartsville, SC 29550
Phone: 843-332-3422    Fax: 843-339-5518
Aquilla Bec,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1268 S 4th St, Hartsville, SC 29550
Phone: 843-332-0118    
Ms. Elizabeth Anne Sorg,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1268 S 4th St, Hartsville, SC 29550
Phone: 843-332-3422    Fax: 843-332-3985

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.