Stacy Lea Clark Bergeron Carter, APRN in Hollywood, FL

Stacy Lea Clark Bergeron Carter, APRN is a medicare enrolled "Nurse Practitioner" in Hollywood, Florida. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Broward Hospital District and her current practice location is 3501 Johnson St, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 265-7750.

Stacy Lea Clark Bergeron Carter is licensed to practice in Florida (license number APRN11011922) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033795232.

Contact Information

	Stacy Lea Clark Bergeron Carter, APRN
	3501 Johnson St, Hollywood, FL 33021-5421
	(954) 265-7750
	(954) 276-0280

Map and Direction

Provider's Profile

Full Name	Stacy Lea Clark Bergeron Carter
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	3501 Johnson St, Hollywood, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacy Lea Clark Bergeron Carter graduated from nursing school in 2020

NPI Data:

NPI Number: 1033795232
Provider Enumeration Date: 03/19/2021
Last Update Date: 03/29/2022

Medicare PECOS Information:

PECOS PAC ID: 0143614974
Enrollment ID: I20220222000316

Medical Identifiers

Medical identifiers for Stacy Lea Clark Bergeron Carter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033795232	NPI	-	NPPES
113475400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	11011922 (Florida)	Secondary
363L00000X	Nurse Practitioner	APRN11011922 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Regional Hospital	Hollywood, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Broward Hospital District	8123927373	537

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 Lea Clark Bergeron Carter allows following entities to bill medicare on her behalf.

Entity Name	South Broward Hospital District
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1962991562 PECOS PAC ID: 8123927373 Enrollment ID: O20190226001221

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 Lea Clark Bergeron Carter 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 Lea Clark Bergeron Carter, APRN 2900 Corporate Way, Door D, Miramar, FL 33025-3925 Ph: (954) 276-5685	Stacy Lea Clark Bergeron Carter, APRN 3501 Johnson St, Hollywood, FL 33021-5421 Ph: (954) 265-7750

Reviews and Comments

Nurse Practitioner Nurses in Hollywood, FL

Fiorella Jahaira Saka, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave, Suite 590, Hollywood, FL 33021 Phone: 954-265-9500 Fax: 954-265-1431
Bella Gleiser Mendez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 385, Hollywood, FL 33021 Phone: 954-265-4325
Andrea Annmarie Goulbourne-smith, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7369 Sheridan St Ste 101, Hollywood, FL 33024 Phone: 954-561-6222 Fax: 954-990-7650
Roberto Santamaria, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1957 Jackson St, Hollywood, FL 33020 Phone: 954-921-2600
Jennifer Aphrodite Germain, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 N 53rd Ave, Hollywood, FL 33021 Phone: 305-450-8698
Linda C Barreras, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S Federal Hwy, Hollywood, FL 33020 Phone: 954-342-8800 Fax: 954-342-8700
Mrs. Christine M Browne, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 S Park Rd Ste 200, Hollywood, FL 33021 Phone: 954-923-7440 Fax: 954-923-1299

Stacy Lea Clark Bergeron Carter, APRN - Medicare Nurse Practitioner in Hollywood, FL