DR. STACY BRODRICK M.D. NPI 1013917954

Emergency Medicine in Tucson, AZ

NPI 1013917954 Individual Female Years of Experience 28 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment

About STACY BRODRICK

Stacy Brodrick is a provider established in Tucson, Arizona and her medical specialization is emergency medicine with more than 28 years of experience. She graduated from University Of Southern California Keck School Of Medicine in 1994. The NPI number of Stacy Brodrick is 1013917954 and was assigned on July 2005. The practitioner's primary taxonomy code is 207P00000X with license number 28450 (AZ). The provider is registered as an individual and her NPI record was last updated 15 years ago.

Stacy Brodrick is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Stacy Brodrick is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with St. Mary's Hospital.

NPI

1013917954

Provider NameDR. STACY BRODRICK M.D.
Provider Location Address350 N WILMOT RD TUCSON, AZ 85711
Provider Mailing Address2202 N FORBES BLVD TUCSON, AZ 85745
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year1994
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date07-21-2005
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.28450
License StateAZ
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DR. STACY BRODRICK M.D.
350 N WILMOT RD
TUCSON, AZ
ZIP 85711
Phone: (520) 872-7130

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Mailing Address

DR. STACY BRODRICK M.D.
2202 N FORBES BLVD
TUCSON, AZ
ZIP 85745
Phone: (520) 872-7130



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9234265869
PECOS Enrollment IDI20100407000216
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 209Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Stacy Brodrick is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST. MARY'S HOSPITAL1601 WEST ST MARY'S ROAD
TUCSON, AZ 85745
(520) 872-3000Acute Care Hospitals30010

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
62237MEDICARE ID-TYPE UNSPECIFIED (04)AZ
522715MEDICAID (05)AZ
G39309MEDICARE UPIN (02)AZ

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508863796 JOHN WETHERHOLD M.D.
Individual
Anesthesiology350 N WILMOT RD
TUCSON, AZ 85711
(602) 273-6770
1992705818DR. LAURIE A HERRERA M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1396745238DR. KENNETH E BRANDIS M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1497755326DR. RIEMKE M BRAKEMA M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1962402800DR. RANDALL L BENNETT M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1124028873DR. CARLOS C HUERTA M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1396745048DR. GLEN R KARTCHNER M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1366442907DR. CHRISTOPHER T JOHNSON M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1700886348DR. EDWARD G LANE M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1750381257DR. FRANK A REISER M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1467452961DR. FARSHAD M SHIRAZI M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1427058924DR. NOAH M TOLBY M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1316947781DR. CHRISTOPHER D TARR M.D.
Individual
Emergency Medicine350 N WILMOT RD
TUCSON, AZ 85711
(520) 872-7130
1982691721 DIANE T. SERVOSS M.D.
Individual
Anesthesiology350 N WILMOT RD
TUCSON, AZ 85711
(520) 296-3211
1770555476 LISSA M BENSON FNP
Individual
Nurse Practitioner (Family)350 N WILMOT RD
TUCSON, AZ 85711
(520) 873-5823
1427075993MS. ELIZABETH ANN SHALLENBERGER MSW, LISAC
Individual
Counselor (Addiction (Substance Use Disorder))350 N WILMOT RD
TUCSON, AZ 85711
(520) 873-3748
1831112010 JOHN ROBERT LONEY LCSW
Individual
Social Worker (Clinical)350 N WILMOT RD
TUCSON, AZ 85711
(520) 873-5022
1780784660DR. ROBERT SEEDLOCK SEXTON M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)350 N WILMOT RD ATTNL NURSERY
TUCSON, AZ 85711
(520) 873-3786
1003901786DR. DARIUSH MEHRABANI-ZARDOSHTI M.D.
Individual
Specialist350 N WILMOT RD NEWBORN INTENSIVE CARE UNIT
TUCSON, AZ 85711
(520) 873-3735
1831287879DR. WELDON DAVID COUCH MD
Individual
Clinical Medical Laboratory350 N WILMOT RD
TUCSON, AZ 85711
(520) 873-3929

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.