Ms Stacie K Castle, RD is a medicare enrolled "Dietitian, Registered" provider in Lake Success, New York. She graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is
2001 Marcus Ave, Suite N220, Lake Success, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 652-2747.
Ms Stacie K Castle is licensed to practice in New York (license number 0023311) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366651846.
Healthcare Provider's Profile
| Full Name | Ms Stacie K Castle |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 42 Years |
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| Location | 2001 Marcus Ave, Lake Success, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Stacie K Castle graduated from medical school in 1982
NPI Data:
- NPI Number: 1366651846
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 10/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 6002082971
- Enrollment ID: I20111223000023
Medical Identifiers
Medical identifiers for Ms Stacie K Castle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366651846 | NPI | - | NPPES |
| P2576072 | Other | NY | OXFORD |
| P2035293003 | Other | NY | UNITED HEALTHCARE |
| 9014E1 | Other | NY | EMPIRE BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 0023311 (New York) | 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. Ms Stacie K Castle is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Stacie K Castle, RD
62 Forsythia Lane,
Jericho, NY 11753
Ph: (516) 652-2747 | Ms Stacie K Castle, RD
2001 Marcus Ave, Suite N220,
Lake Success, NY 11042
Ph: (516) 652-2747 |
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