Mrs Stacy Nicole Alvare, PTA is a
Physical Therapy Assistant based in Kingsland, Georgia. Mrs Stacy Nicole Alvare is licensed to practice in Georgia (license number PTA002436) and her current practice location is
100-a Lindsey Lane, Kingsland, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 729-1333.
NPI number for Mrs Stacy Nicole Alvare is 1679719348 and her current mailing address is Po Box 949, Rome, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679719348.
Healthcare Provider's Profile
| Full Name | Mrs Stacy Nicole Alvare |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapy Assistant |
|---|
| Location | 100-a Lindsey Lane, Kingsland, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679719348
- Provider Enumeration Date: 12/30/2008
- Last Update Date: 12/02/2010
Medical Identifiers
Medical identifiers for Mrs Stacy Nicole Alvare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679719348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT 006802 (Georgia) | Secondary |
| 225200000X | Physical Therapy Assistant | PTA002436 (Georgia) | Primary |
| 225200000X | Physical Therapy Assistant | PTA16364 (Florida) | Secondary |
| 225700000X | Massage Therapist | MA 53221 (Florida) | 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. Mrs Stacy Nicole Alvare 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 |
|---|
Mrs Stacy Nicole Alvare, PTA
Po Box 949,
Rome, GA 30162-0949
Ph: (706) 802-1991 | Mrs Stacy Nicole Alvare, PTA
100-a Lindsey Lane,
Kingsland, GA 31548
Ph: (912) 729-1333 |
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