Stacey Wilson, is a
Case Management based in Mountain Village, Alaska. Stacey Wilson is licensed to practice in * (Not Available) (license number ) and her current practice location is
100 Airport Rd #366, Mountain Village, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 591-6295.
NPI number for Stacey Wilson is 1477832558 and her current mailing address is Po Box 32366, Mountain Village, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477832558.
Healthcare Provider's Profile
| Full Name | Stacey Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Case Management |
|---|
| Location | 100 Airport Rd #366, Mountain Village, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477832558
- Provider Enumeration Date: 08/08/2011
- Last Update Date: 08/08/2011
Medical Identifiers
Medical identifiers for Stacey Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477832558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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 Wilson 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 Wilson,
Po Box 32366,
Mountain Village, AK 99632-0366
Ph: (907) 591-6295 | Stacey Wilson,
100 Airport Rd #366,
Mountain Village, AK 99632
Ph: (907) 591-6295 |
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