Stacie Leahy, is a medicare enrolled "Dietitian, Registered" provider in Medford, Wisconsin. Her current practice location is
135 S Gibson St, Medford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 748-8100.
Stacie Leahy is licensed to practice in * (Not Available) (license number ) 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 1750748646.
Healthcare Provider's Profile
| Full Name | Stacie Leahy |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 135 S Gibson St, Medford, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750748646
- Provider Enumeration Date: 01/22/2016
- Last Update Date: 01/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 2365746427
- Enrollment ID: I20160210000713
Medical Identifiers
Medical identifiers for Stacie Leahy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750748646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Stacie Leahy allows following entities to bill medicare on her behalf.
| Provider Name | Aspirus Medford Hospital & Clinics Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
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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. Stacie Leahy 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 |
Stacie Leahy, 35669 50th Ave, Stanley, WI 54768-6163 Ph: () - | Stacie Leahy, 135 S Gibson St, Medford, WI 54451-1622 Ph: (715) 748-8100 |
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