Stacey Darrisaw, RN, CCM in Columbus, GA - Case Management

Stacey Darrisaw, RN, CCM is a Case Management based in Columbus, Georgia. Stacey Darrisaw is licensed to practice in Georgia (license number RN124631) and her current practice location is 2020 7th Ave, Columbus, Georgia. She can be reached at her office (for appointments etc.) via phone at (762) 822-1242.

NPI number for Stacey Darrisaw is 1104448281 and her current mailing address is 49 Westwood Way, Fortson, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104448281.

Contact Information

	Stacey Darrisaw, RN, CCM
	2020 7th Ave, Columbus, GA 31904-8914
	(762) 822-1242
	(706) 494-4445

Provider's Profile

Full Name	Stacey Darrisaw
Gender	Female
Speciality	Case Management
Location	2020 7th Ave, Columbus, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1104448281
Provider Enumeration Date: 05/12/2020
Last Update Date: 05/12/2020

Medical Identifiers

Medical identifiers for Stacey Darrisaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104448281	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0400X	Registered Nurse - Case Management	RN124631 (Georgia)	Secondary
171M00000X	Case Manager/care Coordinator	RN124631 (Georgia)	Secondary
251B00000X	Case Management	RN124631 (Georgia)	Primary

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 Darrisaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacey Darrisaw, RN, CCM 49 Westwood Way, Fortson, GA 31808-6069 Ph: (762) 822-1242	Stacey Darrisaw, RN, CCM 2020 7th Ave, Columbus, GA 31904-8914 Ph: (762) 822-1242

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Stacey Darrisaw, RN, CCM - Case Management in Columbus, GA