Stacey E Applegate

DO | Pediatric Cardiology | Female

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Complete Profile:

Stacey E Applegate basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Stacey E Applegate
Credential :	DO
Gender :	Female

Business Address:

Stacey E Applegate address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	115 Heart Dr Greenville, NC, 27834-8982 United States
Phone Number :	252-744-4400
Fax Number :	252-744-3987

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1104974526
NPI Entity Type :	Individual
First Enrolment Date :	08 Jan, 2007
Last Updated On :	09 Dec, 2020

Medicare Participation:

Stacey E Applegate participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3779753165
Medicare Enrollment ID :	I20110822000336
Primary Specialty :	Pediatric Medicine
Medical School :	West Virginia School Of Osteopathic Medicine
Graduation Year :	2003
Accepts Medicare?	Yes. Stacey E Applegate accepts medicare insurance.

Group Practice Association:

Stacey E Applegate is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Stacey E Applegate is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
East Carolina University	0244143246	378	2100 Stantonsburg Rd Greenville, NC - 278342818 Ph: 2522093000	Yes
East Carolina University	0244143246	378	600 Moye Blvd Greenville, NC - 278344300	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey E Applegate are as mentioned. Primary taxonomy code for Stacey E Applegate, DO is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	200600938	NC
2080P0202X	Pediatrics Pediatric Cardiology	Yes	2006-00938	NC

Legacy Identifiers:

Other legacy medical identifiers of Stacey E Applegate such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
165F6	Other	NC	BCBSNC
5918594	MEDICAID	NC

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 751069 Charlotte, NC, 28275-1069 United States

Business Location:

Patients can refer following map for directions to Stacey E Applegate practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.