| Stacy M Stark, DO | |
|
115 Tanglewood Ct, Lebanon, PA 17042-9472 | |
| (484) 554-3827 | |
| Not Available |
| Full Name | Stacy M Stark |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 115 Tanglewood Ct, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609981968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | OS013789 (Pennsylvania) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | DO2565 (Tennessee) | Secondary |
| Entity Name | National Health Rehabilitation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780080218 PECOS PAC ID: 4284952615 Enrollment ID: O20170330000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy M Stark, DO 115 Tanglewood Ct, Lebanon, PA 17042-9472 Ph: (484) 554-3827 | Stacy M Stark, DO 115 Tanglewood Ct, Lebanon, PA 17042-9472 Ph: (484) 554-3827 |
Stuart A Hartman, DO Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 341 Cumberland St, 1st Floor, Lebanon, PA 17042 Phone: 717-272-1050 Fax: 717-272-1740 | |
Barbara F Keenan, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon Va Medical Center, Lebanon, PA 17042 Phone: 717-272-6621 Fax: 717-228-5926 | |
Susan Leininger, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 113 S 9th St, Lebanon, PA 17042 Phone: 717-376-1133 | |
Dr. Milan A. Patel, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 30 N 4th St Fl 1, Lebanon, PA 17046 Phone: 717-466-2417 |