Stacey Walsemann, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Lowville, New York. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is
7785 N State St, Lowville, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 376-5081.
Stacey Walsemann is licensed to practice in New York (license number 009548) 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 1639059702.
Healthcare Provider's Profile
| Full Name | Stacey Walsemann |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 12 Years |
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| Location | 7785 N State St, Lowville, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacey Walsemann graduated from medical school in 2014
NPI Data:
- NPI Number: 1639059702
- Provider Enumeration Date: 09/08/2025
- Last Update Date: 09/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961991336
- Enrollment ID: I20251028000339
Medical Identifiers
Medical identifiers for Stacey Walsemann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639059702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 009548 (New York) | 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. Stacey Walsemann allows following entities to bill medicare on her behalf.
| Provider Name | Lewis County General Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568534303
PECOS PAC ID: 2668463779
Enrollment ID: O20040901000160 |
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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. Stacey Walsemann 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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Stacey Walsemann, RD, CDN
4669 Zecher Rd,
Carthage, NY 13619-6017
Ph: Not Available | Stacey Walsemann, RD, CDN
7785 N State St,
Lowville, NY 13367-1229
Ph: (315) 376-5081 |
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