Staci Livingston, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West Salem, Wisconsin. Her current practice location is
N3507 Country Rd M, None, West Salem, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 623-0304.
Staci Livingston is licensed to practice in Wisconsin (license number 11972-33) 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 1548999063.
Provider's Profile
| Full Name | Staci Livingston |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | N3507 Country Rd M, West Salem, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548999063
- Provider Enumeration Date: 06/09/2022
- Last Update Date: 06/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860875333
- Enrollment ID: I20220816001686
Medical Identifiers
Medical identifiers for Staci Livingston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548999063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11972-33 (Wisconsin) | 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 Livingston allows following entities to bill medicare on her behalf.
| Entity Name | Molina Care Connections Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20180330000006 |
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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 Livingston 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 |
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Staci Livingston, NP
N3507 Country Rd M, None,
West Salem, WI 54669
Ph: (262) 623-0304 | Staci Livingston, NP
N3507 Country Rd M, None,
West Salem, WI 54669
Ph: (262) 623-0304 |
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