Mrs Stacie M Mallon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Woodward, Iowa. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
30865 130th Ct, Woodward, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 490-9739.
Mrs Stacie M Mallon is licensed to practice in Iowa (license number A157443) 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 1720614456.
Provider's Profile
| Full Name | Mrs Stacie M Mallon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 30865 130th Ct, Woodward, Iowa |
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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. |
Medical Education and Training:
- Mrs Stacie M Mallon graduated from nursing school in 2016
NPI Data:
- NPI Number: 1720614456
- Provider Enumeration Date: 03/13/2020
- Last Update Date: 03/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 4688056153
- Enrollment ID: I20260410000321
Medical Identifiers
Medical identifiers for Mrs Stacie M Mallon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720614456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | A157443 (Iowa) | Primary |
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. Mrs Stacie M Mallon 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 |
Mrs Stacie M Mallon, FNP-C Po Box 276, Slater, IA 50244-0276 Ph: (515) 490-9739 | Mrs Stacie M Mallon, FNP-C 30865 130th Ct, Woodward, IA 50276-6209 Ph: (515) 490-9739 |
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