Stacy Radke, is a
Occupational Therapist based in Wrightstown, Wisconsin. Stacy Radke is licensed to practice in * (Not Available) (license number ) and her current practice location is
351 High St, Wrightstown, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 532-4818.
NPI number for Stacy Radke is 1053215962 and her current mailing address is 55 Southern Edge Dr, Fond Du Lac, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053215962.
Healthcare Provider's Profile
| Full Name | Stacy Radke |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 351 High St, Wrightstown, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053215962
- Provider Enumeration Date: 10/05/2026
- Last Update Date: 10/05/2026
Medical Identifiers
Medical identifiers for Stacy Radke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053215962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | (* (Not Available)) | 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. Stacy Radke 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 |
Stacy Radke, 55 Southern Edge Dr, Fond Du Lac, WI 54935-6040 Ph: (920) 948-1086 | Stacy Radke, 351 High St, Wrightstown, WI 54180-1131 Ph: (920) 532-4818 |
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