Dr Patrick Charles Stack, DMIN is a
Marriage & Family Therapist based in Kirkwood, Missouri. Dr Patrick Charles Stack is licensed to practice in Missouri (license number 300107) and his current practice location is
10702 Manchester Rd, Kirkwood, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 966-1022.
NPI number for Dr Patrick Charles Stack is 1407062383 and his current mailing address is 11 Villawood Ln, Webster Groves, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407062383.
Healthcare Provider's Profile
Full Name | Dr Patrick Charles Stack |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 10702 Manchester Rd, Kirkwood, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407062383
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Patrick Charles Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407062383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2775 (Missouri) | Primary |
101YP2500X | Counselor - Professional | 000122 (Missouri) | Primary |
106H00000X | Marriage & Family Therapist | 300107 (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. Dr Patrick Charles Stack 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 |
Dr Patrick Charles Stack, DMIN 11 Villawood Ln, Webster Groves, MO 63119-4916 Ph: (314) 963-1962 | Dr Patrick Charles Stack, DMIN 10702 Manchester Rd, Kirkwood, MO 63122-1321 Ph: (314) 966-1022 |
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