Stacey Dimitt, MD - Medicare Family Practice in Grants, NM

Stacey Dimitt, MD is a medicare enrolled "Family Medicine" physician in Grants, New Mexico. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cibola General Hospital Corporation and her current practice location is 1423 E Roosevelt Ave, Grants, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 287-6500.

Stacey Dimitt is licensed to practice in Kansas (license number 7613) 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 1508151978.

Contact Information

Stacey Dimitt, MD
1423 E Roosevelt Ave,
Grants, NM 87020-2245
(505) 287-6500
(505) 287-5393



Physician's Profile

Full NameStacey Dimitt
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location1423 E Roosevelt Ave, Grants, New Mexico
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacey Dimitt attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2011
  NPI Data:
  • NPI Number: 1508151978
  • Provider Enumeration Date: 06/14/2011
  • Last Update Date: 09/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486803491
  • Enrollment ID: I20190226003342

Medical Identifiers

Medical identifiers for Stacey Dimitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508151978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 7613 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cibola General HospitalGrants, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cibola General Hospital Corporation711393589141

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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. Stacey Dimitt allows following entities to bill medicare on her behalf.
Entity NameCibola General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780677039
PECOS PAC ID: 7113935891
Enrollment ID: O20060323000127

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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. Stacey Dimitt 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
Stacey Dimitt, MD
1423 E Roosevelt Ave,
Grants, NM 87020-2245

Ph: (505) 287-6500
Stacey Dimitt, MD
1423 E Roosevelt Ave,
Grants, NM 87020-2245

Ph: (505) 287-6500

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TRAIL, a member of the TNF family of ligands, causes caspase-dependent apoptosis through activation of its receptors, death receptor 4 and DR5.

Read more News

› Verified 4 days ago


Family Medicine Doctors in Grants, NM

Dr. Ann Edmunds Heath, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1217 Bonita St, Grants, NM 87020
Phone: 505-287-2950    Fax: 505-287-2403
Shelly Kristine Campbell, FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2111 N. Lobo Canyon Rd., Grants, NM 87020
Phone: 505-876-8360    
Arnold W Valdivia, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1208 Bonita St, Grants, NM 87020
Phone: 505-287-4474    
Donna Deming, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 60006 Cantina Acres, Grants, NM 87020
Phone: 505-285-4529    
Dr. Patricia Magdalena Rocha, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1423 E Roosevelt Avenue, Grants, NM 87020
Phone: 505-287-6500    Fax: 505-287-9053
Dr. Alfredo Nevarez, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1016 E Roosevelt Ave, Grants, NM 87020
Phone: 505-287-4446    Fax: 505-287-5343

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