Mrs Stacy Harris, APN - Medicare Nurse Practitioner in Conway, AR

Mrs Stacy Harris, APN is a medicare enrolled "Nurse Practitioner - Adult Health" in Conway, Arkansas. Her current practice location is 525 Western Ave Ste 304, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 327-7555.

Mrs Stacy Harris is licensed to practice in Arkansas (license number A03027) 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 1134356942.

Contact Information

Mrs Stacy Harris, APN
525 Western Ave Ste 304,
Conway, AR 72034-4981
(501) 327-7555
(501) 327-9466



Provider's Profile

Full NameMrs Stacy Harris
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location525 Western Ave Ste 304, Conway, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134356942
  • Provider Enumeration Date: 06/18/2009
  • Last Update Date: 06/18/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0840538013
  • Enrollment ID: I20190213001885

Medical Identifiers

Medical identifiers for Mrs Stacy Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134356942NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health A03027 (Arkansas)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. Mrs Stacy Harris allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Central Arkansas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912543240
PECOS PAC ID: 0042612244
Enrollment ID: O20210712000255

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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 Stacy Harris 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 Stacy Harris, APN
525 Western Ave Ste 304,
Conway, AR 72034-4981

Ph: (501) 327-7555
Mrs Stacy Harris, APN
525 Western Ave Ste 304,
Conway, AR 72034-4981

Ph: (501) 327-7555

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Nurse Practitioner Nurses in Conway, AR

Marina Gray, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 495 Hogan Ln Ste 2, Conway, AR 72034
Phone: 501-358-6695    Fax: 501-358-6860
Mckenzie Lauren Cotton, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1065 Skyline Dr, Conway, AR 72032
Phone: 501-499-6222    
Cynthia Lou Grubbs, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 495 Hogan Ln, Conway, AR 72034
Phone: 501-327-1150    Fax: 501-327-3427
Mrs. Leah Maranda Martin, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1014 Harkrider St, Suite B, Conway, AR 72032
Phone: 501-327-7100    Fax: 501-279-9011
Keisha A. Fox,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034
Phone: 479-518-4977    Fax: 479-203-3030
Mrs. Shakenia A Tate, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 150 E Siebenmorgen Rd, Conway, AR 72032
Phone: 501-329-6851    
David Adam Steinfeld, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 855 S German Ln Ste 1, Conway, AR 72034
Phone: 501-358-6606    Fax: 501-325-5554

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