Stacy Ray Eubanks, is a medicare enrolled "Occupational Therapist" provider in Citra, Florida. Her current practice location is
2555 E Highway 316, Citra, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 817-0012.
Stacy Ray Eubanks is licensed to practice in Florida (license number OT18791) 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 1902314248.
Healthcare Provider's Profile
| Full Name | Stacy Ray Eubanks |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 2555 E Highway 316, Citra, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902314248
- Provider Enumeration Date: 01/22/2018
- Last Update Date: 01/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476967860
- Enrollment ID: I20210126003393
Medical Identifiers
Medical identifiers for Stacy Ray Eubanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902314248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OT18791 (Florida) | 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 Ray Eubanks allows following entities to bill medicare on her behalf.
| Provider Name | Habit Project Physical And Occupational Therapy |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1922603117
PECOS PAC ID: 2567876949
Enrollment ID: O20210126001753 |
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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 Ray Eubanks 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 |
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Stacy Ray Eubanks,
2555 E Highway 316,
Citra, FL 32113-4570
Ph: (352) 817-0012 | Stacy Ray Eubanks,
2555 E Highway 316,
Citra, FL 32113-4570
Ph: (352) 817-0012 |
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