Dr Cassandra Lynne Stacy, DMD | |
2130 Cliff Rd Ste 100, Eagan, MN 55122-2486 | |
(651) 452-6933 | |
Not Available |
Full Name | Dr Cassandra Lynne Stacy |
---|---|
Gender | Female |
Speciality | Oral Surgery |
Experience | 23 Years |
Location | 2130 Cliff Rd Ste 100, Eagan, Minnesota |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033179577 | NPI | - | NPPES |
116645000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | D12052 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dakota Valley Oral And Maxillofacial Surgery Pllc | 9436127560 | 6 |
Entity Name | Dakota Valley Oral And Maxillofacial Surgery Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366568206 PECOS PAC ID: 9436127560 Enrollment ID: O20040917000112 |
Mailing Address | Practice Location Address |
---|---|
Dr Cassandra Lynne Stacy, DMD 2130 Cliff Rd Ste 100, Eagan, MN 55122-2486 Ph: (651) 452-6933 | Dr Cassandra Lynne Stacy, DMD 2130 Cliff Rd Ste 100, Eagan, MN 55122-2486 Ph: (651) 452-6933 |
Douglas Martin Bauer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4640 Nicols Rd, Suite 100, Eagan, MN 55122 Phone: 651-454-1414 Fax: 651-454-7987 | |
Kirsten Marie Johnson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1380 Duckwood Dr, Suite 108, Eagan, MN 55123 Phone: 651-686-6500 Fax: 651-686-7800 | |
Jacob Michael Kerkering, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3405 Promenade Ave Ste 300, Eagan, MN 55123 Phone: 651-236-7458 Fax: 651-405-6995 | |
Dr. Keith Robert Erickson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2130 Cliff Rd Ste 220, Eagan, MN 55122 Phone: 651-405-1055 Fax: 651-405-0727 | |
Dr. Jacobi Lazar Ludwig, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1905 Plaza Dr, Eagan, MN 55122 Phone: 651-686-6678 Fax: 805-529-0102 | |
Dr. Todd Mitchell Thomas, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1227 Northwood Pkwy, Eagan, MN 55121 Phone: 651-687-0789 Fax: 651-687-0902 |