Stacy Flowers, PMHNP-BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Vicksburg, Mississippi. Her current practice location is
120 Holt Collier Dr Ste C, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 597-2362.
Stacy Flowers is licensed to practice in Mississippi (license number 904186) 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 1629272596.
Provider's Profile
Full Name | Stacy Flowers |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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Location | 120 Holt Collier Dr Ste C, Vicksburg, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629272596
- Provider Enumeration Date: 06/13/2007
- Last Update Date: 07/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 0840495214
- Enrollment ID: I20220322001639
Medical Identifiers
Medical identifiers for Stacy Flowers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629272596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 904186 (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. Stacy Flowers allows following entities to bill medicare on her behalf.
Entity Name | Maxie Gordon Md & Associates, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114105665 PECOS PAC ID: 1658442843 Enrollment ID: O20080616000407 |
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Entity Name | Nulife Health Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316616626 PECOS PAC ID: 6901291392 Enrollment ID: O20220322001492 |
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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. Stacy Flowers 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 |
Stacy Flowers, PMHNP-BC 120 Holt Collier Dr Ste C, Vicksburg, MS 39183-4408 Ph: (601) 597-2362 | Stacy Flowers, PMHNP-BC 120 Holt Collier Dr Ste C, Vicksburg, MS 39183-4408 Ph: (601) 597-2362 |
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