Stacy Johnson, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Whitney, Texas. Her current practice location is
202 E Jefferson Ave, Whitney, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 694-2221.
Stacy Johnson is licensed to practice in * (Not Available) (license number ) 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 1215452578.
Provider's Profile
Full Name | Stacy Johnson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 202 E Jefferson Ave, Whitney, Texas |
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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 Johnson attended and graduated from in
NPI Data:
- NPI Number: 1215452578
- Provider Enumeration Date: 08/08/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Stacy Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215452578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 606779 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Johnson 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 Johnson, 202 E Jefferson Ave, Whitney, TX 76692-2398 Ph: (254) 694-2221 | Stacy Johnson, 202 E Jefferson Ave, Whitney, TX 76692-2398 Ph: (254) 694-2221 |
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