| Stacy Tucker, MSOT | |
|
1285 Cleaver Rd, Caro, MI 48723-9241 | |
| (989) 672-0518 | |
| Not Available |
| Full Name | Stacy Tucker |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1285 Cleaver Rd, Caro, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215413299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201009071 (Michigan) | Primary |
| Provider Name | Game Changer Pediatric Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437506383 PECOS PAC ID: 5193017119 Enrollment ID: O20160713000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Tucker, MSOT 351 York Dr, Bay City, MI 48706-1428 Ph: () - | Stacy Tucker, MSOT 1285 Cleaver Rd, Caro, MI 48723-9241 Ph: (989) 672-0518 |
Janelle Hudson, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 E Caro Rd, Caro, MI 48723 Phone: 989-673-2500 Fax: 989-673-3979 | |
Miss Kirsten Saryssa Brydon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 N Hooper St, Caro, MI 48723 Phone: 989-672-5112 | |
Debra Meekins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Chambers Rd, Caro, MI 48723 Phone: 989-673-3191 Fax: 989-673-0064 | |
Katelyn Pease, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1332 Prospect Ave, Caro, MI 48723 Phone: 989-672-3147 | |
Ms. Phyllis Scott, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 E Caro Rd, Caro, MI 48723 Phone: 989-673-0466 | |
Kasey Ann Kastros, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1796 W Caro Rd Ste Ii, Caro, MI 48723 Phone: 989-778-6750 |