Stacie Diette, CNM is a medicare enrolled "Midwife" in Durham, North Carolina. Her current practice location is
3643 N Roxboro St, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 470-4220.
Stacie Diette is licensed to practice in North Carolina (license number 666) 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 1033629118.
Provider's Profile
| Full Name | Stacie Diette |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 3643 N Roxboro St, Durham, North Carolina |
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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: 1033629118
- Provider Enumeration Date: 10/03/2017
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 6103186655
- Enrollment ID: I20180201002344
Medical Identifiers
Medical identifiers for Stacie Diette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033629118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WX0003X | Registered Nurse - Obstetric, Inpatient | 223493 (North Carolina) | Secondary |
| 176B00000X | Midwife | 666 (North 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. Stacie Diette allows following entities to bill medicare on her behalf.
| Entity Name | Uwh Of The Carolinas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639506470
PECOS PAC ID: 0042448169
Enrollment ID: O20140118000107 |
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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. Stacie Diette 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 |
|---|
Stacie Diette, CNM
7711 Cape Charles Dr,
Raleigh, NC 27617-8321
Ph: (919) 257-9969 | Stacie Diette, CNM
3643 N Roxboro St,
Durham, NC 27704-2702
Ph: (919) 470-4220 |
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