Stacy Lynn Rutherford, DNAP - Medicare Nurse Anesthetist, Certified Registered in Tahlequah, OK

Stacy Lynn Rutherford, DNAP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tahlequah, Oklahoma. Her current practice location is 100 S Bliss Ave, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 458-3100.

Stacy Lynn Rutherford is licensed to practice in Oklahoma (license number 117919) 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 1548882103.

Contact Information

Stacy Lynn Rutherford, DNAP
100 S Bliss Ave,
Tahlequah, OK 74464-2512
(918) 458-3100
Not Available



Provider's Profile

Full NameStacy Lynn Rutherford
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location100 S Bliss Ave, Tahlequah, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548882103
  • Provider Enumeration Date: 05/17/2020
  • Last Update Date: 03/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830512581
  • Enrollment ID: I20200714000672

Medical Identifiers

Medical identifiers for Stacy Lynn Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548882103NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 138975 (Kansas)Secondary
163W00000XRegistered Nurse 117919 (Oklahoma)Secondary
367500000XNurse Anesthetist, Certified Registered 117919 (Oklahoma)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. Stacy Lynn Rutherford allows following entities to bill medicare on her behalf.
Entity NameCherokee Nation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780692723
PECOS PAC ID: 5799698742
Enrollment ID: O20031106000628

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› Verified 5 days ago

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 Lynn Rutherford 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 Lynn Rutherford, DNAP
5527 Nieman Rd,
Shawnee, KS 66203-2345

Ph: (918) 633-4820
Stacy Lynn Rutherford, DNAP
100 S Bliss Ave,
Tahlequah, OK 74464-2512

Ph: (918) 458-3100

News Archive

Cedars-Sinai Heart Institute presents new findings on heart transplantation rejection factors

Physician scientists at the Cedars-Sinai Heart Institute are presenting new findings on heart transplantation rejection factors such as race and gender, the effects of pre-transplant smoking and whether homeless organ donors put recipients at higher risk for complications. The presentations will take place April 21 - 24 in Chicago during the 30th Annual Scientific Meeting of the International Society of Heart and Lung Transplantation.

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Children who have been abused are at risk of recurrence and effective prevention strategies are urgently needed, say the authors of a randomized trial published online today by The Lancet.

Fight for Sight funds research to explore gene editing as treatment for inherited retinal diseases

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Adventist Medical Center augments surgical practice with newest model of the da Vinci surgical robot

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Read more News

› Verified 5 days ago


Nurse Anesthetist, Certified Registered Nurses in Tahlequah, OK

Emmanuel Samedi, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464
Phone: 918-458-3115    
Alicia L Clingan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Downing St, Tahlequah, OK 74464
Phone: 918-456-0641    
David Alan Forsythe, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464
Phone: 918-458-3100    Fax: 918-458-3511
William George Worthington, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464
Phone: 918-458-3100    Fax: 918-458-3511
Sean Wayne Poe, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464
Phone: 918-458-3115    Fax: 918-458-3511
Teresa Lynn Toombs, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Downing St, Tahlequah, OK 74464
Phone: 918-453-2148    
Nicholas Novak, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1400 E Downing St, Tahlequah, OK 74464
Phone: 918-456-0641    

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