Stacy Jill Osterhoudt, ACNPC-AG, in Boston, MA

Stacy Jill Osterhoudt, ACNPC-AG, is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Boston, Massachusetts. Her current practice location is 725 Albany Street, Suite 7b, Shapiro Bldg., Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 638-8456.

Stacy Jill Osterhoudt is licensed to practice in Massachusetts (license number RN2389809) 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 1215628664.

Contact Information

	Stacy Jill Osterhoudt, ACNPC-AG,
	725 Albany Street, Suite 7b, Shapiro Bldg., Boston, MA 02118
	(617) 638-8456
	(617) 638-8465

Map and Direction

Provider's Profile

Full Name	Stacy Jill Osterhoudt
Gender	Female
Speciality	Nurse Practitioner - Critical Care Medicine
Location	725 Albany Street, Suite 7b, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215628664
Provider Enumeration Date: 05/17/2023
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 9931556164
Enrollment ID: I20231109002888

Medical Identifiers

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

Identifier	Type	State	Issuer
1215628664	NPI	-	NPPES
3143868	Medicaid	NH
110204587A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN2389809 (Massachusetts)	Secondary
363LC0200X	Nurse Practitioner - Critical Care Medicine	RN2389809 (Massachusetts)	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 Jill Osterhoudt allows following entities to bill medicare on her behalf.

Entity Name	Boston University Neurology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528005436 PECOS PAC ID: 6608772462 Enrollment ID: O20031211000403

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 Jill Osterhoudt 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 Jill Osterhoudt, ACNPC-AG, 960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690 Ph: () -	Stacy Jill Osterhoudt, ACNPC-AG, 725 Albany Street, Suite 7b, Shapiro Bldg., Boston, MA 02118 Ph: (617) 638-8456

Reviews and Comments

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Stacy Jill Osterhoudt, ACNPC-AG, - Medicare Nurse Practitioner in Boston, MA