Stacey Ilyse Brown, PT, DPT - Medicare Physical Therapist in Devon, PA

Stacey Ilyse Brown, PT, DPT is a medicare enrolled "Physical Therapist" physician in Devon, Pennsylvania. Her current practice location is 890 Lancaster Ave, Devon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 225-2451.

Stacey Ilyse Brown is licensed to practice in Pennsylvania (license number PT022212) 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 1417200973.

Contact Information

Stacey Ilyse Brown, PT, DPT
890 Lancaster Ave,
Devon, PA 19333-2360
(610) 225-2451
Not Available



Physician's Profile

Full NameStacey Ilyse Brown
GenderFemale
SpecialityPhysical Therapist
Location890 Lancaster Ave, Devon, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417200973
  • Provider Enumeration Date: 10/22/2012
  • Last Update Date: 12/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5597917922
  • Enrollment ID: I20121212000180

Medical Identifiers

Medical identifiers for Stacey Ilyse Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417200973NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 40QA01467900 (Pennsylvania)Secondary
225100000XPhysical Therapist PT022212 (Pennsylvania)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. Stacey Ilyse Brown allows following entities to bill medicare on her behalf.
Entity NameIvyrehab Network Inc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1861623753
PECOS PAC ID: 3476539776
Enrollment ID: O20040628000865

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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 Ilyse Brown 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 Ilyse Brown, PT, DPT
890 Lancaster Ave,
Devon, PA 19333-2360

Ph: (610) 225-2451
Stacey Ilyse Brown, PT, DPT
890 Lancaster Ave,
Devon, PA 19333-2360

Ph: (610) 225-2451

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