Laurel Susan Stacey, PA-C
Individual provider Active NPI Physician Assistant · Cashiers, NC
NPI 1104189232 · NPPES record last updated Jun 22, 2012
Key facts
- NPI
- 1104189232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 57 White Owl LN
Cashiers, NC 28717-4514 - Phone
- (828) 743-2491
- Fax
- (828) 743-3060
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newberry County Memorial Hospital
Practice addresses (Care Compare)
1830 Pondfield Rd
Newberry, SC 29108-9522
Phone (803) 405-7555
1910 A College St
Newberry, SC 29108-2644
Phone (803) 945-4050
Hospital & facility affiliations
- Newberry County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151222002690 | SC | Practitioner - Physician Assistant | 6507752250 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newberry County Memorial Hospital | Current |
Accepting new patients | |
| Nimco L.L.C | Past | Accepting new patients | |
| Camden Family Care LLC | Past |
Accepting new patients | |
| Newberry County Memorial Hospital | Past | Accepting new patients | |
| Newberry County Memorial Hospital | Past | Accepting new patients | |
| Providence Orthopaedic Group LLC | Past | Accepting new patients |
Locations
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Interoperability endpoints
- laurel.stacey.2@13400.direct.athenahealth.com
- laurel.stacey.1@13400.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
57 White Owl LN
Cashiers, NC 28717-4514
Mailing address
57 White Owl LN
PO Box 1828
Cashiers, NC 28717-4514
Phone (828) 743-2491
Other providers in Cashiers, NC
- Mountain Area Family Medicine, PA
- Jane K. Pressler
- Simons Chiropractic PLLC
- John Morton Smith Jr.
- Ethan Staats
- Structural Chiropractic, PLLC
- Tadaar, P.a.
- Tadaarnc PLLC
- William Scott Thurman
- Laurie Vanderwiele
All providers in Cashiers, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.