Stacie Dosenberry, is a
Licensed Practical Nurse based in Parma, Michigan. Stacie Dosenberry is licensed to practice in Michigan (license number 4703106851) and her current practice location is
7915 W Circle Dr, Parma, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 531-0004.
NPI number for Stacie Dosenberry is 1053791194 and her current mailing address is 7915 W Circle Dr, Parma, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053791194.
Provider's Profile
| Full Name | Stacie Dosenberry |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 7915 W Circle Dr, Parma, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053791194
- Provider Enumeration Date: 06/03/2015
- Last Update Date: 06/03/2015
Medical Identifiers
Medical identifiers for Stacie Dosenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053791194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 4703106851 (Michigan) | 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. Stacie Dosenberry 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 |
Stacie Dosenberry, 7915 W Circle Dr, Parma, MI 49269-9534 Ph: (517) 531-0004 | Stacie Dosenberry, 7915 W Circle Dr, Parma, MI 49269-9534 Ph: (517) 531-0004 |
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