Mrs Stacey Ann Elizabeth Santiago, CRNP - Medicare Nurse Practitioner in Bowie, MD

Mrs Stacey Ann Elizabeth Santiago, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Bowie, Maryland. Her current practice location is 4201 Northview Dr, Ste 525, Bowie, Maryland. You can reach out to her office (for appointments etc.) via phone at (256) 508-9034.

Mrs Stacey Ann Elizabeth Santiago is licensed to practice in Florida (license number APRN9224482) 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 1083992333.

Contact Information

Mrs Stacey Ann Elizabeth Santiago, CRNP
4201 Northview Dr, Ste 525,
Bowie, MD 20716-2604
(256) 508-9034
Not Available



Provider's Profile

Full NameMrs Stacey Ann Elizabeth Santiago
GenderFemale
SpecialityNurse Practitioner - Family
Location4201 Northview Dr, Bowie, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083992333
  • Provider Enumeration Date: 08/03/2011
  • Last Update Date: 06/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9638341241
  • Enrollment ID: I20230106000036

Medical Identifiers

Medical identifiers for Mrs Stacey Ann Elizabeth Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083992333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN9224482 (Florida)Primary
363LF0000XNurse Practitioner - Family 2010016142 (Maryland)Secondary

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. Mrs Stacey Ann Elizabeth Santiago allows following entities to bill medicare on her behalf.
Entity NameNurse Practitioner Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780121277
PECOS PAC ID: 6002230778
Enrollment ID: O20230106000032

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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. Mrs Stacey Ann Elizabeth Santiago 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
Mrs Stacey Ann Elizabeth Santiago, CRNP
151 N Nob Hill Rd, Ste 205,
Plantation, FL 33324-1708

Ph: () -
Mrs Stacey Ann Elizabeth Santiago, CRNP
4201 Northview Dr, Ste 525,
Bowie, MD 20716-2604

Ph: (256) 508-9034

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Nurse Practitioner Nurses in Bowie, MD

Ms. Lawanis M Phillips, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14399 Gallant Fox Ln, Ste 222, Bowie, MD 20715
Phone: 301-262-7800    
Obiageli Ogbodo, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6911 Laurel Bowie Rd Ste 209, Bowie, MD 20715
Phone: 240-206-8345    
Olabisi Muyinat Oladipo, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13206 Steeplechase Dr, Bowie, MD 20715
Phone: 240-413-9883    
Marie Binta Kanu,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10201 Tulip Tree Dr, Bowie, MD 20721
Phone: 240-460-5287    
Mrs. Melinda Toussaint, MSN, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16701 Melford Blvd Ste 400, Bowie, MD 20715
Phone: 703-402-7605    
Mrs. Shavonne Marie Gumbs, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6111 High Bridge Rd, Bowie, MD 20720
Phone: 301-503-1490    Fax: 301-576-5197
Lioudmila Hill, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15459 Annapolis Rd, Bowie, MD 20715
Phone: 240-544-0676    

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