Kathleen Marie Stack, MD - Psychiatry & Neurology in Ft Eustis, VA

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Kathleen Marie Stack, MD is a Psychiatry & Neurology - Psychiatry physician based in Ft Eustis, Virginia. Kathleen Marie Stack is licensed to practice in Virginia (license number 0101044295) and her current practice location is 576 Jefferson Ave, Mcdonald Army Health Center, Ft Eustis, Virginia. She can be reached at her office (for appointments etc.) via phone at (757) 344-6921.

NPI number for Kathleen Marie Stack is 1902866718 and her current mailing address is 576 Jefferson Ave, Mcdonald Army Health Center, Ft Eustis, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902866718.

Contact Information

Kathleen Marie Stack, MD
576 Jefferson Ave, Mcdonald Army Health Center,
Ft Eustis, VA 23604-5548
(757) 344-6921
Not Available

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Physician's Profile

Full NameKathleen Marie Stack
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location576 Jefferson Ave, Ft Eustis, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902866718
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 01/10/2013

Medical Identifiers

Medical identifiers for Kathleen Marie Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902866718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 0101044295 (Virginia)Primary
2084P0802XPsychiatry & Neurology - Addiction Psychiatry 0101044295 (Virginia)Secondary

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. Kathleen Marie Stack 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
Kathleen Marie Stack, MD
576 Jefferson Ave, Mcdonald Army Health Center,
Ft Eustis, VA 23604-5548

Ph: (757) 344-6921		Kathleen Marie Stack, MD
576 Jefferson Ave, Mcdonald Army Health Center,
Ft Eustis, VA 23604-5548

Ph: (757) 344-6921

Reviews and Comments


Psychiatry & Neurology Doctors in Ft Eustis, VA


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