Mrs Stacy L Wagner, RD LD - Dietitian in Huntsville, TX

Mrs Stacy L Wagner, RD LD is a Dietitian, Registered based in Huntsville, Texas. Mrs Stacy L Wagner is licensed to practice in Texas (license number DT04058) and her current practice location is 110 Memorial Hospital Dr., Huntsville, Texas. She can be reached at her office (for appointments etc.) via phone at (936) 291-4525.

NPI number for Mrs Stacy L Wagner is 1932205242 and her current mailing address is Po Box 6175, Huntsville, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932205242.

Contact Information

Mrs Stacy L Wagner, RD LD
110 Memorial Hospital Dr.,
Huntsville, TX 77340
(936) 291-4525
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Stacy L Wagner
GenderFemale
SpecialityDietitian, Registered
Location110 Memorial Hospital Dr., Huntsville, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932205242
  • Provider Enumeration Date: 09/15/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Stacy L Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932205242NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered DT04058 (Texas)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. Mrs Stacy L Wagner 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
Mrs Stacy L Wagner, RD LD
Po Box 6175,
Huntsville, TX 77342-6175

Ph: (936) 291-1153
Mrs Stacy L Wagner, RD LD
110 Memorial Hospital Dr.,
Huntsville, TX 77340

Ph: (936) 291-4525

Reviews and Comments


Dietitian, Registered in Huntsville, TX

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Basic Balance Nutrition, Inc.
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Phone: 936-291-0900    Fax: 936-291-0955
Ms. Penelope Haigler Meyers, RD LD
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Practice Location: 110 Memorial Hospital Dr, Huntsville, TX 77340
Phone: 936-291-4239    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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