Stacy Holley, FNP in Grayson, KY - Medicare Nurse Practitioner

Stacy Holley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Grayson, Kentucky. She went to University Of Cincinnati College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 107 E Main St, Grayson, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 474-0244.

Stacy Holley is licensed to practice in West Virginia (license number 84657) 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 1144647652.

Contact Information

	Stacy Holley, FNP
	107 E Main St, Grayson, KY 41143-1301
	(606) 474-0244
	(606) 474-0412

Map and Direction

Provider's Profile

Full Name	Stacy Holley
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	107 E Main St, Grayson, Kentucky
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 Holley attended and graduated from University Of Cincinnati College Of Medicine in 2012

NPI Data:

NPI Number: 1144647652
Provider Enumeration Date: 03/21/2014
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 1355565458
Enrollment ID: I20231028000146

Medical Identifiers

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

Identifier	Type	State	Issuer
1144647652	NPI	-	NPPES
0102228	Medicaid	OH
3053133	Other	WV	BCBS
7100295790	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	84657 (West Virginia)	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 Holley allows following entities to bill medicare on her behalf.

Entity Name	Main Street Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952180408 PECOS PAC ID: 0547616401 Enrollment ID: O20231028000131

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 Holley 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 Holley, FNP 107 E Main St, Grayson, KY 41143-1301 Ph: (606) 474-0244	Stacy Holley, FNP 107 E Main St, Grayson, KY 41143-1301 Ph: (606) 474-0244

Reviews and Comments

Nurse Practitioner Nurses in Grayson, KY

Maria Baker Sargent, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Bellefonte Dr, Grayson, KY 41143 Phone: 606-474-0669
Brittany Gene Bond, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Bellefonte Dr, Grayson, KY 41143 Phone: 606-475-5505 Fax: 606-475-5506
Mrs. Shelby Anne Hill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669
Maryellen Tussey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 207 N Carol Malone Blvd Ste 3, Grayson, KY 41143 Phone: 606-225-8200 Fax: 888-606-7354
Kellie Richelle Sparks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669
Tori Scott, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Carol Malone Blvd Ste 100, Grayson, KY 41143 Phone: 606-475-0152 Fax: 606-474-4240

Stacy Holley, FNP - Medicare Nurse Practitioner in Grayson, KY