Stacy R Ross Aprn Llc - Medicare Mental Health Clinic in Clearwater, FL

Stacy R Ross Aprn Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Clearwater, Florida. The current practice location for Stacy R Ross Aprn Llc is 3455 Countryside Blvd Unit 12, Clearwater, Florida. For appointments, you can reach them via phone at (859) 325-3059. The mailing address for Stacy R Ross Aprn Llc is 3455 Countryside Blvd Unit 12, Clearwater, Florida and phone number is (859) 325-3059.

Stacy R Ross Aprn Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1881376143. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (859) 325-3059.

Contact Information

Stacy R Ross Aprn Llc
3455 Countryside Blvd Unit 12
Clearwater
FL 33761-1306
(859) 325-3059
Not Available

Mental Health Clinic Profile

Full NameStacy R Ross Aprn Llc
SpecialityClinic/Center
Location3455 Countryside Blvd Unit 12, Clearwater, Florida
Authorized Official Name and PositionStacy Renee Ross (OWNER)
Authorized Official Contact8593253059
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy R Ross Aprn Llc
3455 Countryside Blvd Unit 12
Clearwater
FL 33761-1306

Ph: (859) 325-3059
Stacy R Ross Aprn Llc
3455 Countryside Blvd Unit 12
Clearwater
FL 33761-1306

Ph: (859) 325-3059

NPI Details:

NPI Number1881376143
Provider Enumeration Date08/04/2023
Last Update Date08/11/2023
Certification Date08/11/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8022471341
Medicare Enrollment IDO20230901002847

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Medical Identifiers

Medical identifiers for Stacy R Ross Aprn Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881376143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Stacy R Ross Aprn Llc acts as a billing entity for following providers:
Provider NameStacy Renee Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013695055
PECOS PAC ID: 7315336518
Enrollment ID: I20230906003764

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