Mrs Stacy A Pelletier, OTR/L is a
Occupational Therapist based in Mountain Grove, Missouri. Mrs Stacy A Pelletier is licensed to practice in Missouri (license number 2007032812) and her current practice location is
1604 N Main St, Suite C, Mountain Grove, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 926-6563.
NPI number for Mrs Stacy A Pelletier is 1265695423 and her current mailing address is 108 N Ingraham St, Norwood, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265695423.
Healthcare Provider's Profile
| Full Name | Mrs Stacy A Pelletier |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 1604 N Main St, Mountain Grove, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265695423
- Provider Enumeration Date: 07/08/2008
- Last Update Date: 07/08/2008
Medical Identifiers
Medical identifiers for Mrs Stacy A Pelletier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265695423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 2007032812 (Missouri) | 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 Stacy A Pelletier 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 |
|---|
Mrs Stacy A Pelletier, OTR/L
108 N Ingraham St,
Norwood, MO 65717-9653
Ph: (417) 746-0181 | Mrs Stacy A Pelletier, OTR/L
1604 N Main St, Suite C,
Mountain Grove, MO 65711-1010
Ph: (417) 926-6563 |
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