Mark Stacy, - Medicare Psychiatry & Neurology in Greenville, NC

Mark Stacy, is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Greenville, North Carolina. His current practice location is 2280 Hemby Ln, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 744-9400.

Mark Stacy is licensed to practice in North Carolina (license number 2003-00890) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205910171.

Contact Information

Mark Stacy,
2280 Hemby Ln,
Greenville, NC 27834-3773
(252) 744-9400
(252) 744-9401



Physician's Profile

Full NameMark Stacy
GenderMale
SpecialityPsychiatry & Neurology - Neurology
Location2280 Hemby Ln, Greenville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205910171
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 11/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931188711
  • Enrollment ID: I20100429000414

Medical Identifiers

Medical identifiers for Mark Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205910171NPI-NPPES
135AMOtherNCBCBS OF NC
1205910171MedicaidNC
NCZ9770322OtherNCMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 2003-00890 (North Carolina)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. Mark Stacy allows following entities to bill medicare on his behalf.
Entity NamePrivate Diagnostic Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577

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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. Mark Stacy 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 AddressPractice Location Address
Mark Stacy,
Po Box 751069,
Charlotte, NC 28275-1069

Ph: () -
Mark Stacy,
2280 Hemby Ln,
Greenville, NC 27834-3773

Ph: (252) 744-9400

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Psychiatry & Neurology Doctors in Greenville, NC

Dr. Khalid Abdelsalam Elnagar, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 905 Johns Hopkins Dr, Ecu Physicians Psychiatric Outpatient Center, Greenville, NC 27834
Phone: 252-744-1406    Fax: 252-744-4243
Elham Rahmani, MD, MPH
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 905 Johns Hopkins Dr, Greenville, NC 27834
Phone: 252-744-1406    Fax: 252-744-2419
Dr. Duard Frank Fleming Jr., M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 2280 Hemby Ln, Greenville, NC 27834
Phone: 252-744-9400    Fax: 252-744-9401
Bertha Bowen Hambidge, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2602 Courtier Dr, Greenville, NC 27834
Phone: 252-752-0483    
Mateusz Broszko, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2577 W 5th St, Greenville, NC 27834
Phone: 252-830-3426    
Judith Salle Yongue, MD PA
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 107 Commerce St, Suite D, Greenville, NC 27858
Phone: 252-355-2768    Fax: 252-355-0403
Dr. Diana J Antonacci, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 905 Johns Hopkins Dr, Ecu Physicians Psychiatric Medicine- Outpatient Clinic, Greenville, NC 27834
Phone: 252-744-1406    Fax: 252-744-2419

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