Ms Stacy Wagoner Cliff, MS RD LDN is a medicare enrolled "Dietitian, Registered" provider in Wilkesboro, North Carolina. Her current practice location is
306 College St, Wilkesboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 651-7451.
Ms Stacy Wagoner Cliff is licensed to practice in North Carolina (license number L004752) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386001477.
Healthcare Provider's Profile
| Full Name | Ms Stacy Wagoner Cliff |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 306 College St, Wilkesboro, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386001477
- Provider Enumeration Date: 01/21/2016
- Last Update Date: 07/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557757762
- Enrollment ID: I20220414001899
Medical Identifiers
Medical identifiers for Ms Stacy Wagoner Cliff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386001477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | L004752 (North Carolina) | Primary |
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. Ms Stacy Wagoner Cliff allows following entities to bill medicare on her behalf.
| Provider Name | County Of Wilkes |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962565788
PECOS PAC ID: 2668529157
Enrollment ID: O20100601000390 |
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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. Ms Stacy Wagoner Cliff 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 Address | Practice Location Address |
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Ms Stacy Wagoner Cliff, MS RD LDN
306 College St,
Wilkesboro, NC 28697-2854
Ph: (336) 651-7451 | Ms Stacy Wagoner Cliff, MS RD LDN
306 College St,
Wilkesboro, NC 28697-2854
Ph: (336) 651-7451 |
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