Stacey Clevenger, CMT is a
Massage Therapist based in Cicero, Indiana. Stacey Clevenger is licensed to practice in Indiana (license number MT21906856) and her current practice location is
369 W Cass St, Cicero, Indiana. She can be reached at her office (for appointments etc.) via phone at
(614) 378-3359.
NPI number for Stacey Clevenger is 1881267235 and her current mailing address is Po Box 931, Cicero, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881267235.
Healthcare Provider's Profile
Full Name | Stacey Clevenger |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 369 W Cass St, Cicero, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881267235
- Provider Enumeration Date: 07/22/2021
- Last Update Date: 07/22/2021
Medical Identifiers
Medical identifiers for Stacey Clevenger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881267235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT21906856 (Indiana) | 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. Stacey Clevenger 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 |
Stacey Clevenger, CMT Po Box 931, Cicero, IN 46034-0931 Ph: (614) 378-3359 | Stacey Clevenger, CMT 369 W Cass St, Cicero, IN 46034-5029 Ph: (614) 378-3359 |
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