| Stacy Lewis, | |
|
320 N Eisenhower Ave, Mason City, IA 50401-1521 | |
| (641) 243-7258 | |
| Not Available |
| Full Name | Stacy Lewis |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 320 N Eisenhower Ave, Mason City, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316392269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 091478 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prairie Ridge Integrated Behavioral Healthcare | 6800169194 | 16 |
| Entity Name | Prairie Ridge Integrated Behavioral Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952443632 PECOS PAC ID: 6800169194 Enrollment ID: O20170908000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Lewis, 320 N Eisenhower Ave, Mason City, IA 50401-1521 Ph: (641) 243-7258 | Stacy Lewis, 320 N Eisenhower Ave, Mason City, IA 50401-1521 Ph: (641) 243-7258 |
Courtney Cockrum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 N Eisenhower Ave, Mason City, IA 50401 Phone: 641-243-7257 | |
Ashley Coleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 N Eisenhower Ave, Mason City, IA 50401 Phone: 641-424-2391 | |
Melody Lynn Stone, MA LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 N Jefferson Ave, Mason City, IA 50401 Phone: 641-424-8344 | |
Jennifer Lynn Gehrls, T-CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 N Eisenhower Ave, Mason City, IA 50401 Phone: 641-424-2391 | |
Bridget Powers Grady, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 S Pierce Ave Ste 213, Mason City, IA 50401 Phone: 641-426-0650 | |
Leah Jean Weber, LMHC Counselor Medicare: May Accept Medicare Assignments Practice Location: 22 N Georgia Ave, Suite 102, Mason City, IA 50401 Phone: 641-422-0070 Fax: 641-422-0060 | |
Stephen Daniel Blackman, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 N Eisenhower Ave, Mason City, IA 50401 Phone: 641-243-7235 |