| Mrs Stacy Marie Hastey, RD/LD | |
|
714 W. 16th St., Okmulgee, OK 74447-6218 | |
| (918) 756-5560 | |
| (888) 322-5168 |
| Full Name | Mrs Stacy Marie Hastey |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 714 W. 16th St., Okmulgee, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477788891 | NPI | - | NPPES |
| 200248390A | Medicaid | OK | |
| OKB5648 | Other | OK | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1617 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stacy Marie Hastey, RD/LD 20284 Cedar Rd., Henryetta, OK 74437-7284 Ph: (918) 756-5560 | Mrs Stacy Marie Hastey, RD/LD 714 W. 16th St., Okmulgee, OK 74447-6218 Ph: (918) 756-5560 |
Creek Nation Hospital & Clinics Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1313 E 20th St, Okmulgee, OK 74447 Phone: 918-591-5700 | |
Mary Parnell, RD-LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1313 E 20th St, Okmulgee, OK 74447 Phone: 918-756-9911 Fax: 918-756-9910 |