Stacy Hackenmueller, MS, RD, CD is a medicare enrolled "Dietitian, Registered" provider in Wapato, Washington. Her current practice location is
620 W 1st St, Wapato, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 249-0477.
Stacy Hackenmueller is licensed to practice in Washington (license number DI60317263) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942545298.
Healthcare Provider's Profile
| Full Name | Stacy Hackenmueller |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 620 W 1st St, Wapato, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1942545298
- Provider Enumeration Date: 11/27/2012
- Last Update Date: 08/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234593914
- Enrollment ID: I20230913003573
Medical Identifiers
Medical identifiers for Stacy Hackenmueller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942545298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DI60317263 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Hackenmueller allows following entities to bill medicare on her behalf.
| Provider Name | Yakima Valley Farm Workers Clinic |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1295788602
PECOS PAC ID: 4385541986
Enrollment ID: O20040211000663 |
|---|
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. Stacy Hackenmueller 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 |
|---|
Stacy Hackenmueller, MS, RD, CD
620 W 1st St,
Wapato, WA 98951-1108
Ph: (509) 249-0477 | Stacy Hackenmueller, MS, RD, CD
620 W 1st St,
Wapato, WA 98951-1108
Ph: (509) 249-0477 |
Reviews and Comments