Ms Stacy L Hydrick, LPN is a
Licensed Practical Nurse based in Winnebago, Illinois. Ms Stacy L Hydrick is licensed to practice in Illinois (license number 043.106224) and her current practice location is
310 N Benton St, Winnebago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 391-4684.
NPI number for Ms Stacy L Hydrick is 1619314549 and her current mailing address is 310 N Benton St, Winnebago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619314549.
Provider's Profile
| Full Name | Ms Stacy L Hydrick |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 310 N Benton St, Winnebago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619314549
- Provider Enumeration Date: 06/01/2013
- Last Update Date: 06/01/2013
Medical Identifiers
Medical identifiers for Ms Stacy L Hydrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619314549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 043.106224 (Illinois) | 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. Ms Stacy L Hydrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Stacy L Hydrick, LPN 310 N Benton St, Winnebago, IL 61088-8354 Ph: (815) 391-4684 | Ms Stacy L Hydrick, LPN 310 N Benton St, Winnebago, IL 61088-8354 Ph: (815) 391-4684 |
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