Stacie Pace, AGACNP, AGPCNP in Hattiesburg, MS

Stacie Pace, AGACNP, AGPCNP is a medicare enrolled "Nurse Practitioner" in Hattiesburg, Mississippi. Her current practice location is 709 Hardy St, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 466-9495.

Stacie Pace is licensed to practice in Mississippi (license number 879432) 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 1528480035.

Contact Information

	Stacie Pace, AGACNP, AGPCNP
	709 Hardy St, Hattiesburg, MS 39401-3666
	(601) 466-9495
	(601) 469-9965

Map and Direction

Provider's Profile

Full Name	Stacie Pace
Gender	Female
Speciality	Nurse Practitioner
Location	709 Hardy St, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528480035
Provider Enumeration Date: 01/17/2014
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0446473375
Enrollment ID: I20140610000820

Medical Identifiers

Medical identifiers for Stacie Pace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528480035	NPI	-	NPPES
05656575	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	C-APN.0100762-C-NP (Colorado)	Secondary
363L00000X	Nurse Practitioner	RNP232597 (Arizona)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	879432 (Mississippi)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	879432 (Mississippi)	Secondary
363L00000X	Nurse Practitioner	879432 (Mississippi)	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 Pace allows following entities to bill medicare on her behalf.

Entity Name	Physicians Care Plaza, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316137300 PECOS PAC ID: 2163459603 Enrollment ID: O20050726000846

Entity Name	Diamondhead Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659673606 PECOS PAC ID: 6305028051 Enrollment ID: O20110316000859

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 Pace 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 Pace, AGACNP, AGPCNP 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 Ph: (601) 466-9495	Stacie Pace, AGACNP, AGPCNP 709 Hardy St, Hattiesburg, MS 39401-3666 Ph: (601) 466-9495

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Stacie Pace, AGACNP, AGPCNP - Medicare Nurse Practitioner in Hattiesburg, MS