Dr Cassandra Lynne Stacy, DMD - Medicare Dentist in Woodbury, MN

Dr Cassandra Lynne Stacy, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Woodbury, Minnesota. She went to University Of Kentucky College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Oral Surgery. She is a member of the group practice Dakota Valley Oral And Maxillofacial Surgery Pllc and her current practice location is 9950 Valley Creek Rd, Suite 100, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 578-7000.

Dr Cassandra Lynne Stacy is licensed to practice in Minnesota (license number D12052) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1033179577.

Contact Information

Dr Cassandra Lynne Stacy, DMD
9950 Valley Creek Rd, Suite 100,
Woodbury, MN 55125-4883
(651) 578-7000
(651) 773-9646

Map and Direction




Healthcare Provider's Profile

Full NameDr Cassandra Lynne Stacy
GenderFemale
SpecialityOral Surgery
Experience23 Years
Location9950 Valley Creek Rd, Woodbury, Minnesota
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Cassandra Lynne Stacy attended and graduated from University Of Kentucky College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1033179577
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 12/03/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9032151816
  • Enrollment ID: I20050523001187

Medical Identifiers

Medical identifiers for Dr Cassandra Lynne Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033179577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery D12052 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dakota Valley Oral And Maxillofacial Surgery Pllc94361275605

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Cassandra Lynne Stacy allows following entities to bill medicare on her behalf.
Entity NameDakota Valley Oral And Maxillofacial Surgery Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366568206
PECOS PAC ID: 9436127560
Enrollment ID: O20040917000112

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cassandra Lynne Stacy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Cassandra Lynne Stacy, DMD
9950 Valley Creek Rd, Suite 100,
Woodbury, MN 55125-4883

Ph: (651) 578-7000
Dr Cassandra Lynne Stacy, DMD
9950 Valley Creek Rd, Suite 100,
Woodbury, MN 55125-4883

Ph: (651) 578-7000

Reviews and Comments


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