Timothy Kyle Stacks, CRNA in Camp Lejeune, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Timothy Kyle Stacks, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Camp Lejeune, North Carolina. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Medstream Anesthesia Pllc, Low Country Anesthesia, Pa and his current practice location is 100 Brewster Blvd, Naval Hospital Camp Lejeune, Camp Lejeune, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 450-4791.

Timothy Kyle Stacks is licensed to practice in North Carolina (license number 149855) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447224936.

Contact Information

	Timothy Kyle Stacks, CRNA
	100 Brewster Blvd, Naval Hospital Camp Lejeune, Camp Lejeune, NC 28547-2538
	(910) 450-4791
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy Kyle Stacks
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	20 Years
Location	100 Brewster Blvd, Camp Lejeune, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Timothy Kyle Stacks graduated from nursing school in 2004

NPI Data:

NPI Number: 1447224936
Provider Enumeration Date: 02/14/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4082620265
Enrollment ID: I20060224000410

Medical Identifiers

Medical identifiers for Timothy Kyle Stacks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447224936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	149855 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ashe Memorial Hospital	Jefferson, NC	Hospital
Beaufort County Memorial Hospital	Beaufort, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medstream Anesthesia Pllc	7416198049	570
Low Country Anesthesia, Pa	8729063797	42

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. Timothy Kyle Stacks allows following entities to bill medicare on his behalf.

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209

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. Timothy Kyle Stacks 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
Timothy Kyle Stacks, CRNA 100 Dockside Dr, Jacksonville, NC 28546-9768 Ph: (910) 353-7509	Timothy Kyle Stacks, CRNA 100 Brewster Blvd, Naval Hospital Camp Lejeune, Camp Lejeune, NC 28547-2538 Ph: (910) 450-4791

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Camp Lejeune, NC

Dr. Jason Allan Patacsil, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4785 Fax: 910-450-4790
Mr. John Carol Daniels Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 301-256-7157
Robert Roland Bradford Iii, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357
Dr. Justin Beryl Hefley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4288
Paul David Cooper Jr., C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194
Dr. Roger G Cason, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-3326
Devon Nicole Kovacs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357

Timothy Kyle Stacks, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Camp Lejeune, NC