Stacey Michelle Landrie, is a
Substance Abuse Rehabilitation Facility based in Cambridge, Maryland. Stacey Michelle Landrie is licensed to practice in * (Not Available) (license number ) and her current practice location is
828 Airpax Rd Ste 300, Cambridge, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 901-1333.
NPI number for Stacey Michelle Landrie is 1972081842 and her current mailing address is 828 Airpax Rd Ste 300, Cambridge, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972081842.
Healthcare Provider's Profile
Full Name | Stacey Michelle Landrie |
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Gender | Female |
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Speciality | Substance Abuse Rehabilitation Facility |
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Location | 828 Airpax Rd Ste 300, Cambridge, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972081842
- Provider Enumeration Date: 08/02/2018
- Last Update Date: 08/02/2018
Medical Identifiers
Medical identifiers for Stacey Michelle Landrie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972081842 | NPI | - | NPPES |
1770906901 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | (* (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. Stacey Michelle Landrie 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 |
Stacey Michelle Landrie, 828 Airpax Rd Ste 300, Cambridge, MD 21613-6401 Ph: (410) 901-1333 | Stacey Michelle Landrie, 828 Airpax Rd Ste 300, Cambridge, MD 21613-6401 Ph: (410) 901-1333 |
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