Dr Susan Stacker, - Dentist in Wausau, WI

Dr Susan Stacker, is a Dentist - Periodontics based in Wausau, Wisconsin. Dr Susan Stacker is licensed to practice in Wisconsin (license number 4828) and her current practice location is 1220 N 6 Street, Wausau, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (715) 845-7759.

NPI number for Dr Susan Stacker is 1306903786 and her current mailing address is 1220 N 6 Street, Wausau, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306903786.

Contact Information

Dr Susan Stacker,
1220 N 6 Street,
Wausau, WI 54401-1220
(715) 845-7759
(715) 845-4509

Map and Direction




Healthcare Provider's Profile

Full NameDr Susan Stacker
GenderFemale
SpecialityDentist - Periodontics
Location1220 N 6 Street, Wausau, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306903786
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 03/04/2014

Medical Identifiers

Medical identifiers for Dr Susan Stacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306903786NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0300XDentist - Periodontics 4828 (Illinois)Secondary
1223P0300XDentist - Periodontics 4828 (Wisconsin)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 Susan Stacker 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 AddressPractice Location Address
Dr Susan Stacker,
1220 N 6 Street,
Wausau, WI 54403-1220

Ph: (715) 845-7759
Dr Susan Stacker,
1220 N 6 Street,
Wausau, WI 54401-1220

Ph: (715) 845-7759

Reviews and Comments


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