Mrs Stacey Ann Minio, PT is a
Physical Therapist based in Upper Holland, Pennsylvania. Mrs Stacey Ann Minio is licensed to practice in Pennsylvania (license number PT015604) and her current practice location is
55 E Ridge Cir, Upper Holland, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 208-0654.
NPI number for Mrs Stacey Ann Minio is 1265625594 and her current mailing address is 55 E Ridge Cir, Upper Holland, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265625594.
Healthcare Provider's Profile
| Full Name | Mrs Stacey Ann Minio |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 55 E Ridge Cir, Upper Holland, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265625594
- Provider Enumeration Date: 08/21/2007
- Last Update Date: 07/07/2020
Medical Identifiers
Medical identifiers for Mrs Stacey Ann Minio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265625594 | NPI | - | NPPES |
| 1265625594 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 40QA00913100 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | PT015604 (Pennsylvania) | 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 Stacey Ann Minio 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 Stacey Ann Minio, PT
55 E Ridge Cir,
Upper Holland, PA 19053-1539
Ph: (215) 208-0654 | Mrs Stacey Ann Minio, PT
55 E Ridge Cir,
Upper Holland, PA 19053-1539
Ph: (215) 208-0654 |
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