Ms Tedra Stuart, LPC is a
In Home Supportive Care based in Springfield, Oregon. Ms Tedra Stuart is licensed to practice in Oregon (license number 859573) and her current practice location is
3406 Watermark Dr, Springfield, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 798-0706.
NPI number for Ms Tedra Stuart is 1104076140 and her current mailing address is 3406 Watermark Dr, Springfield, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104076140.
Healthcare Provider's Profile
| Full Name | Ms Tedra Stuart |
|---|
| Gender | Female |
|---|
| Speciality | In Home Supportive Care |
|---|
| Location | 3406 Watermark Dr, Springfield, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104076140
- Provider Enumeration Date: 09/26/2008
- Last Update Date: 09/22/2022
Medical Identifiers
Medical identifiers for Ms Tedra Stuart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104076140 | NPI | - | NPPES |
| 859573 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | C1334 (Oregon) | Secondary |
| 101YP2500X | Counselor - Professional | C1334 (Oregon) | Secondary |
| 253Z00000X | In Home Supportive Care | 859573 (Oregon) | 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. Ms Tedra Stuart 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 |
|---|
Ms Tedra Stuart, LPC
3406 Watermark Dr,
Springfield, OR 97477-6725
Ph: (503) 798-0706 | Ms Tedra Stuart, LPC
3406 Watermark Dr,
Springfield, OR 97477-6725
Ph: (503) 798-0706 |
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