Stacy Beaty, MD - Medicare Dermatology in St Louis, MO

Stacy Beaty, MD is a medicare enrolled "Dermatology" physician in St Louis, Missouri. She went to University Of Texas Medical Branch At Galveston and graduated in 2001 and has 23 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Northeast Tarrant Dermatology Inc and her current practice location is 1755 S Grand, St Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 256-3433.

Stacy Beaty is licensed to practice in Missouri (license number 2005004429) 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 1669499638.

Contact Information

Stacy Beaty, MD
1755 S Grand,
St Louis, MO 63104
(314) 256-3433
(314) 256-3431



Physician's Profile

Full NameStacy Beaty
GenderFemale
SpecialityDermatology
Experience23 Years
Location1755 S Grand, St Louis, Missouri
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:
  • Stacy Beaty attended and graduated from University Of Texas Medical Branch At Galveston in 2001
  NPI Data:
  • NPI Number: 1669499638
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0749215697
  • Enrollment ID: I20101007001328

Medical Identifiers

Medical identifiers for Stacy Beaty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669499638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 2005004429 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Tarrant Dermatology Inc60028011644

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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. Stacy Beaty allows following entities to bill medicare on her behalf.
Entity NameNortheast Tarrant Dermatology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235357666
PECOS PAC ID: 6002801164
Enrollment ID: O20040417000444

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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 Beaty 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
Stacy Beaty, MD
3691 Rutger Ave, Provider Enrollment,
St Louis, MO 63110

Ph: (314) 977-6828
Stacy Beaty, MD
1755 S Grand,
St Louis, MO 63104

Ph: (314) 256-3433

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Dermatology Doctors in St Louis, MO

Lester Thomas Reese, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 522 North New Ballas Road, Suite 316, St Louis, MO 63141
Phone: 314-567-5873    Fax: 314-567-4040
Madhavi Kandula, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 845 North New Ballas Court, Suite 310, St Louis, MO 63141
Phone: 314-692-0221    Fax: 314-692-0686
Natalie L Semchyshyn,
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1755 S Grand, St Louis, MO 63104
Phone: 314-256-3400    
Joseph Duvall, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1755 S Grand, St Louis, MO 63104
Phone: 314-256-3433    Fax: 214-256-3431
Ms. Madeliene Elaine Gainers, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 660 S. Euclid Avenue, Washington Univ Med Ctr/div Of Dermatology, St Louis, MO 63110
Phone: 314-454-8622    Fax: 314-454-5928

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