Stacy Henrickson, NP in Concord, NC - Medicare Nurse Practitioner

Stacy Henrickson, NP is a medicare enrolled "Nurse Practitioner" in Concord, North Carolina. Her current practice location is 1090 Ne Gateway Ct Ne, Ste 204, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 403-7020.

Stacy Henrickson is licensed to practice in North Carolina (license number 5003123) 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 1417157611.

Contact Information

	Stacy Henrickson, NP
	1090 Ne Gateway Ct Ne, Ste 204, Concord, NC 28025-2414
	(704) 403-7020
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacy Henrickson
Gender	Female
Speciality	Nurse Practitioner
Location	1090 Ne Gateway Ct Ne, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417157611
Provider Enumeration Date: 07/25/2007
Last Update Date: 01/20/2021

Medicare PECOS Information:

PECOS PAC ID: 6103918990
Enrollment ID: I20100720000924

Medical Identifiers

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

Identifier	Type	State	Issuer
1417157611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5003123 (North Carolina)	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 Henrickson allows following entities to bill medicare on her behalf.

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

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 Henrickson 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 Henrickson, NP Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Stacy Henrickson, NP 1090 Ne Gateway Ct Ne, Ste 204, Concord, NC 28025-2414 Ph: (704) 403-7020

Reviews and Comments

Nurse Practitioner Nurses in Concord, NC

Lori Lovett Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025 Phone: 704-403-9050
Mrs. Laura Hudson Werner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Poplar Tent Rd, Concord, NC 28027 Phone: 704-782-1727
Nicole Elizabeth Longo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025 Phone: 704-403-9050
Jason K Freeburne, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
Temple Britt Byrd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
John Emmett Fesperman, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
Kimberly Smith Gallagher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 349 Penny Ln, Concord, NC 28025 Phone: 704-786-7158

Stacy Henrickson, NP - Medicare Nurse Practitioner in Concord, NC