| Dr Marcy Stern Pa | |
|
5515 Bentgrass Dr # C-102 Sarasota FL 34235-2668 | |
| (941) 321-7665 | |
| Not Available |
| Full Name | Dr Marcy Stern Pa |
|---|---|
| Speciality | Counselor |
| Location | 5515 Bentgrass Dr # C-102, Sarasota, Florida |
| Authorized Official Name and Position | Marcy Stern (PRESIDENT) |
| Authorized Official Contact | 9413217665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marcy Stern Pa Po Box 15516 Sarasota FL 34277-1516 Ph: () - | Dr Marcy Stern Pa 5515 Bentgrass Dr # C-102 Sarasota FL 34235-2668 Ph: (941) 321-7665 |
| NPI Number | 1083369433 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Medicare PECOS PAC ID | 9830534809 |
|---|---|
| Medicare Enrollment ID | O20240229001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083369433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marcy Stern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669516084 PECOS PAC ID: 0749625713 Enrollment ID: I20240229001200 |
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