Stacey Cowan, is a medicare enrolled "Occupational Therapist" provider in Zimmerman, Minnesota. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Aegis Group Practice Llc and her current practice location is
26369 2nd St E, Zimmerman, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 340-0026.
Stacey Cowan is licensed to practice in Minnesota (license number 104700) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063354660.
Healthcare Provider's Profile
| Full Name | Stacey Cowan |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 12 Years |
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| Location | 26369 2nd St E, Zimmerman, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacey Cowan graduated from medical school in 2014
NPI Data:
- NPI Number: 1063354660
- Provider Enumeration Date: 04/06/2026
- Last Update Date: 04/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 1456828458
- Enrollment ID: I20260428000878
Medical Identifiers
Medical identifiers for Stacey Cowan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063354660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 104700 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aegis Group Practice Llc | 5193036432 | 404 |
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. Stacey Cowan 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 |
|---|
Stacey Cowan,
4130 329th Ave Nw,
Cambridge, MN 55008-7585
Ph: () - | Stacey Cowan,
26369 2nd St E,
Zimmerman, MN 55398-7539
Ph: (763) 340-0026 |
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