Stasia Renell Payne, - Nurse Practitioner in Southfield, MI

Stasia Renell Payne, is a Nurse Practitioner - Gerontology based in Southfield, Michigan. Stasia Renell Payne is licensed to practice in Michigan (license number 4704300384) and her current practice location is 16001 W 9 Mile Rd, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 849-3000.

NPI number for Stasia Renell Payne is 1245001403 and her current mailing address is 9595 Rockland, Redford, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245001403.

Contact Information

Stasia Renell Payne,
16001 W 9 Mile Rd,
Southfield, MI 48075-4818
(248) 849-3000
Not Available

Map and Direction




Provider's Profile

Full NameStasia Renell Payne
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location16001 W 9 Mile Rd, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245001403
  • Provider Enumeration Date: 01/15/2024
  • Last Update Date: 01/15/2024

Medical Identifiers

Medical identifiers for Stasia Renell Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245001403NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 4704300384 (Michigan)Secondary
363LG0600XNurse Practitioner - Gerontology 4704300384 (Michigan)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. Stasia Renell Payne is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stasia Renell Payne,
9595 Rockland,
Redford, MI 48239-2246

Ph: () -
Stasia Renell Payne,
16001 W 9 Mile Rd,
Southfield, MI 48075-4818

Ph: (248) 849-3000

Reviews and Comments


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Teresea Ann Zarza, NP
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Mrs. Bernadette Ann Bruno, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075
Phone: 248-849-2536    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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