Stacy Carr, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA04567 Issued in TX

Practice address

907 Eureka St
Suite B
Weatherford, TX 76086-5880

Phone

(817) 599-4901

Fax

(325) 646-9454

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lone Star Pain InstituteGroup PAC ID 1951363712, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Lone Star Pain Institute

  • Interventional Pain Medicine Physician
  • Weatherford, TX
  • NPI 1346235967
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1609933985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 EUREKA ST",
            "address_2": "SUITE B",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865880",
            "telephone_number": "817-599-4901",
            "fax_number": "325-646-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 EUREKA ST",
            "address_2": "SUITE B",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865880",
            "telephone_number": "817-599-4901",
            "fax_number": "325-646-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "STACY",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Leann Carmichael, MA, LPC-A
• Kimberlee J Carpenter-McKinnerney, M.A., LPC
• April Carpenter, M.A., LPC
• Marcy Carpenter
• Amy Carr, MS, LPC
• Sara Beth Casey, M.D.
• Jose F Cavazos
• Leopold Celiz, PA
• Arleen Beth Cerbone, PH.D., LPC
• Maddison Chambers, DPT

• Medical Physician Assistant in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.