Stacy Colwell, is a medicare enrolled "Nurse Practitioner - Family" in Kirkwood, New York. Her current practice location is
865 Us Route 11, Kirkwood, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 775-1771.
Stacy Colwell is licensed to practice in New York (license number 341924) 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 1356876254.
Provider's Profile
Full Name | Stacy Colwell |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 865 Us Route 11, Kirkwood, New York |
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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: 1356876254
- Provider Enumeration Date: 04/28/2017
- Last Update Date: 06/30/2017
Medicare PECOS Information:
- PECOS PAC ID: 2567735822
- Enrollment ID: I20170907002754
Medical Identifiers
Medical identifiers for Stacy Colwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356876254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 688990 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 341924 (New York) | 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 Colwell allows following entities to bill medicare on her behalf.
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
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Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
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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 Colwell 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 Colwell, 33 Lewis Rd, 2nd Fl, Binghamton, NY 13905-1048 Ph: (607) 729-8156 | Stacy Colwell, 865 Us Route 11, Kirkwood, NY 13795-1001 Ph: (607) 775-1771 |
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