Stacy Halderman, FNP-C in Corona, CA - Medicare Nurse Practitioner

Stacy Halderman, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Corona, California. Her current practice location is 2250 S Main St Ste 104, Corona, California. You can reach out to her office (for appointments etc.) via phone at (951) 737-1454.

Stacy Halderman is licensed to practice in California (license number 95010080) 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 1558836510.

Contact Information

	Stacy Halderman, FNP-C
	2250 S Main St Ste 104, Corona, CA 92882
	(951) 737-1454
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacy Halderman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2250 S Main St Ste 104, Corona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558836510
Provider Enumeration Date: 10/05/2018
Last Update Date: 03/24/2023

Medicare PECOS Information:

PECOS PAC ID: 1254670862
Enrollment ID: I20190226002139

Medical Identifiers

Medical identifiers for Stacy Halderman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558836510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95010080 (California)	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 Halderman allows following entities to bill medicare on her behalf.

Entity Name	Citrus Valley Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306033709 PECOS PAC ID: 0446329932 Enrollment ID: O20080523000551

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 Halderman 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 Halderman, FNP-C 2250 S Main St Ste 104, Corona, CA 92882-2538 Ph: (951) 737-1454	Stacy Halderman, FNP-C 2250 S Main St Ste 104, Corona, CA 92882 Ph: (951) 737-1454

Reviews and Comments

Nurse Practitioner Nurses in Corona, CA

Miss Elizah Centeno, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1571 Tanglewood Dr, Corona, CA 92882 Phone: 310-415-4863
Myralene Galamgam Curameng, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 N Lincoln Ave, Corona, CA 92882 Phone: 951-432-7196
Jessie Wackerman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4101 Mount Cantara Cir, Corona, CA 92882 Phone: 714-267-9817
Avelardo V Malvido, MSN, FNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1492 W 6th St Ste M, Corona, CA 92882 Phone: 949-491-9616
Sheila Marie G Maderazo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2079 Compton Ave Ste B102, Corona, CA 92881 Phone: 951-371-6600
Ms. Helena Songhee Park, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2071 Compton Ave, #104, Corona, CA 92881 Phone: 951-279-4900 Fax: 951-279-4111
Jamie Meily Hess, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 341 Magnolia Ave, # 201, Corona, CA 92879 Phone: 951-735-6969 Fax: 951-343-3483

Stacy Halderman, FNP-C - Medicare Nurse Practitioner in Corona, CA