Stacy Sue Crownover, PMHNP in Fort Worth, TX - Medicare Nurse Practitioner

Stacy Sue Crownover, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Worth, Texas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acclaim Physician Group Inc and her current practice location is 1500 S Main St Fl 2, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 702-3636.

Stacy Sue Crownover is licensed to practice in Texas (license number AP135935) 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 1528560844.

Contact Information

	Stacy Sue Crownover, PMHNP
	1500 S Main St Fl 2, Fort Worth, TX 76104-4917
	(817) 702-3636
	(817) 927-8769

Map and Direction

Provider's Profile

Full Name	Stacy Sue Crownover
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1500 S Main St Fl 2, Fort Worth, Texas
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 Sue Crownover graduated from nursing school in 2017

NPI Data:

NPI Number: 1528560844
Provider Enumeration Date: 03/02/2018
Last Update Date: 04/26/2021

Medicare PECOS Information:

PECOS PAC ID: 4981966496
Enrollment ID: I20180321002307

Medical Identifiers

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

Identifier	Type	State	Issuer
1528560844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP135935 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jps Health Network	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acclaim Physician Group Inc	4587963582	442

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 Sue Crownover allows following entities to bill medicare on her behalf.

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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 Sue Crownover 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 Sue Crownover, PMHNP 1136 Hummingbird Ln, Glen Rose, TX 76043-6910 Ph: (432) 631-5933	Stacy Sue Crownover, PMHNP 1500 S Main St Fl 2, Fort Worth, TX 76104-4917 Ph: (817) 702-3636

Reviews and Comments

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Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
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Stacy Sue Crownover, PMHNP - Medicare Nurse Practitioner in Fort Worth, TX