| Stacie Leahy, | |
|
135 S Gibson St, Medford, WI 54451-1622 | |
| (715) 748-8100 | |
| Not Available |
| Full Name | Stacie Leahy |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 135 S Gibson St, Medford, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750748646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| Provider Name | Aspirus Medford Hospital & Clinics Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
| Provider Name | Aspirus Medford Hospital & Clinics Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1619079597 PECOS PAC ID: 5799688602 Enrollment ID: O20071211000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie Leahy, 35669 50th Ave, Stanley, WI 54768-6163 Ph: Not Available | Stacie Leahy, 135 S Gibson St, Medford, WI 54451-1622 Ph: (715) 748-8100 |
Odessa M Gallett, RDCD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 143 South Gibson Street, Medford, WI 54451 Phone: 715-748-2121 Fax: 715-748-7590 |
Kathryn P Bromann, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 143 S Gibson St, Medford, WI 54451 Phone: 715-748-2121 |