Mrs Stacey Marie Boster, MS,PT in Russellville, AR - Medicare Physical Therapy Provider

Mrs Stacey Marie Boster, MS,PT is a medicare enrolled "Physical Therapist" provider in Russellville, Arkansas. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Lane Physical Therapy Center, Inc and her current practice location is 3016 W. Main Street, Suite 200, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 967-9657.

Mrs Stacey Marie Boster is licensed to practice in Arkansas (license number PT2554) 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 1053319715.

Contact Information

	Mrs Stacey Marie Boster, MS,PT
	3016 W. Main Street, Suite 200, Russellville, AR 72801
	(479) 967-9657
	(479) 967-9658

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacey Marie Boster
Gender	Female
Speciality	Physical Therapy
Experience	22 Years
Location	3016 W. Main Street, Russellville, Arkansas
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:

Mrs Stacey Marie Boster graduated from medical school in 2002

NPI Data:

NPI Number: 1053319715
Provider Enumeration Date: 07/07/2005
Last Update Date: 09/28/2011

Medicare PECOS Information:

PECOS PAC ID: 7012186455
Enrollment ID: I20110801000877

Medical Identifiers

Medical identifiers for Mrs Stacey Marie Boster such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053319715	NPI	-	NPPES
145572721	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT2554 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lane Physical Therapy Center, Inc	1456246818	4

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. Mrs Stacey Marie Boster allows following entities to bill medicare on her behalf.

Provider Name	Lane Physical Therapy Center, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104855261 PECOS PAC ID: 1456246818 Enrollment ID: O20040216001171

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. Mrs Stacey Marie Boster 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
Mrs Stacey Marie Boster, MS,PT 1520 E 13th St, Russellville, AR 72802-7437 Ph: (479) 967-9657	Mrs Stacey Marie Boster, MS,PT 3016 W. Main Street, Suite 200, Russellville, AR 72801 Ph: (479) 967-9657

Reviews and Comments

Physical Therapist in Russellville, AR

Seth B. Coulter, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 Skyline Dr, Suite A, Russellville, AR 72802 Phone: 479-967-5155 Fax: 479-967-5141
Ms. Brandi Nicole Koch, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2316 Fax: 479-967-3639
Jacqueline Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198 Fax: 479-967-1178
Nicholas Paul Lensing, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 N Sidney Ave, Russellville, AR 72801 Phone: 479-890-5494 Fax: 479-967-0069
Mr. Jerry Wayne Manning, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3016 W Main St Ste 200, Russellville, AR 72801 Phone: 479-967-9657 Fax: 479-967-9658
Kimberly D Mcdougal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Reasoner Ln, Russellville, AR 72802 Phone: 479-970-2175 Fax: 479-964-2126
Allison Young, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198

Mrs Stacey Marie Boster, MS,PT - Medicare Physical Therapist in Russellville, AR