| Stacey Wasem, APRN | |
|
236 3rd St Sw, Canton, OH 44702-1607 | |
| (330) 754-4431 | |
| (330) 244-8839 |
| Full Name | Stacey Wasem |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 236 3rd St Sw, Canton, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831724640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.026483 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Response Nurse Practitioners, Llc | 8527349992 | 9 |
| Entity Name | Pinnacle Care Providers, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578799417 PECOS PAC ID: 1850437948 Enrollment ID: O20091002000365 |
| Entity Name | Skill Doc 101 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043647803 PECOS PAC ID: 1658509369 Enrollment ID: O20131231001912 |
| Entity Name | Fast Response Nurse Practitioners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720530181 PECOS PAC ID: 8527349992 Enrollment ID: O20161222000484 |
| Entity Name | Pinnacle Wound Providers, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053193292 PECOS PAC ID: 7810337318 Enrollment ID: O20240501001951 |
| Entity Name | Proxy Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396582730 PECOS PAC ID: 6507399524 Enrollment ID: O20250115001587 |
| Entity Name | Fast Response Wound Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710844147 PECOS PAC ID: 7012482516 Enrollment ID: O20260413002074 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Wasem, APRN 236 3rd St Sw, Canton, OH 44702-1607 Ph: (330) 754-4431 | Stacey Wasem, APRN 236 3rd St Sw, Canton, OH 44702-1607 Ph: (330) 754-4431 |
Chelsea Flight, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000 |
Taylor Meghan Moyer, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Tuscarawas St W Ste 400, Canton, OH 44708 Phone: 330-458-2000 Fax: 330-458-2010 |
Jaime Marie Rennecker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-5433 Fax: 330-363-7785 |
Tayler Rae Schembechler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6076 Whipple Ave Nw, Canton, OH 44720 Phone: 330-305-5001 |
Heather Baker, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-452-9911 |
Kenzie Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-9632 |
Douglas Kevin Stevens, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Cleveland Ave Nw, Canton, OH 44702 Phone: 330-445-2677 Fax: 330-455-2101 |