Question 1

What type of a medical provider is Staci Gottlieb?

Accepted Answer

Staci Gottlieb is a Nurse Practitioner (Psych/Mental Health).

Question 2

Where does Staci Gottlieb practice medicine?

Accepted Answer

Staci Gottlieb has the following practice address:901 7TH AVE, FORT WORTH, TX 76104-2722

Question 3

Does this provider have a license number?

Accepted Answer

Staci Gottlieb has the following license number: License Number 741675 issued in Texas.

Question 4

Does Staci Gottlieb accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Staci Gottlieb have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Staci Gottlieb a member of any Medical Groups?

Accepted Answer

Staci Gottlieb is affiliated with one medical group in the FORT WORTH area, HELEN FARABEE CENTERS.

Question 7

Does Staci Gottlieb participate in PECOS?

Accepted Answer

Yes, Staci Gottlieb participates in PECOS.

Question 8

What phone number can I call to contact Staci Gottlieb?

Accepted Answer

You can call the following number: (682)-885-1050

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Staci Gottlieb.

Question 10

Is Staci Gottlieb  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 9 years ago (7/29/2016).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20120423000364
PECOS Individual PAC ID:	6800057662
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Staci Gottlieb

Overview