Individual provider Active NPI

Marnie Stefan Acta, M.D.

  • Psychiatry Physician
  • Gainesville, FL
National Provider Identifier
1336301753
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME113204 Issued in FL
Practice address
1121 NW 64TH Ter
Suite a
Gainesville, FL 32605-4243
Phone
(352) 331-3583
Fax
(352) 331-3669
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X TRN-12713 FL
Psychiatry Physician 2084P0800X ME113204 FL Primary

Addresses

Primary practice location

1121 NW 64TH Ter
Suite a
Gainesville, FL 32605-4243

Mailing address

1121 NW 64TH Ter
Suite a
Gainesville, FL 32605-4243
Phone (352) 331-3583

Other identifiers 1

IdentifierTypeStateIssuer
005575900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120803000250 FL Practitioner - Psychiatry 7012163231 Reassigns benefits to 6 organizations
I20221130001044 NY Practitioner - Psychiatry 7012163231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Behavioral Health Associates, LLCGroup PAC ID 2567624836, 97 clinicians
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone (727) 532-1355

1301 Riverplace Blvd
Suite 800
Jacksonville, FL 32207-9032
Phone (833) 351-8255

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 281-9065

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (727) 532-1355

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (727) 532-1355

601 Main St
Dunedin, FL 34698-5848
Phone (727) 281-9065

6600 Madison St
New Port Richey, FL 34652-1971
Phone (727) 532-1355

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME113204FLMDPsychiatry Physician
TRN-12713FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Jun 19, 2017 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Jun 19, 2017 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Oct 17, 2020 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Nov 30, 2022 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Oct 17, 2020 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Oct 17, 2020 Accepting new patients
Winter Haven Hospital Inc CurrentSince Oct 17, 2020 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Behavioral Health Management Services, Inc CurrentSince Oct 17, 2020 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients

Locations

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

1301 Riverplace Blvd
Jacksonville, FL 32207

1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: marnie.stefanmd@direct.mybaycare.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1336301753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 NW 64TH TER",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054243",
            "telephone_number": "352-331-3583",
            "fax_number": "352-331-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NW 64TH TER",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054243",
            "telephone_number": "352-331-3583",
            "fax_number": "352-331-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFAN ACTA",
        "first_name": "MARNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "TRN-12713",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME113204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005575900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.