Rebecca Sue Stutz, PA-C is a
Physician Assistant based in Detroit Lakes, Minnesota. Rebecca Sue Stutz is licensed to practice in Minnesota (license number 12383) and her current practice location is
1027 Washington Ave, Detroit Lakes, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 847-5611.
NPI number for Rebecca Sue Stutz is 1780837641 and her current mailing address is 1702 University Dr S, Fargo, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780837641.
Healthcare Provider's Profile
| Full Name | Rebecca Sue Stutz |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780837641
- Provider Enumeration Date: 10/23/2008
- Last Update Date: 05/22/2018
Medical Identifiers
Medical identifiers for Rebecca Sue Stutz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780837641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 750 (North Dakota) | Secondary |
| 363A00000X | Physician Assistant | 12383 (Minnesota) | 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. Rebecca Sue Stutz 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 |
|---|
Rebecca Sue Stutz, PA-C
1702 University Dr S,
Fargo, ND 58103-4940
Ph: (701) 364-4222 | Rebecca Sue Stutz, PA-C
1027 Washington Ave,
Detroit Lakes, MN 56501
Ph: (218) 847-5611 |
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