Carol Stack, APRN is a
Clinical Nurse Specialist - Psychiatric/mental Health based in Brattleboro, Vermont. Carol Stack is licensed to practice in Vermont (license number 101-00112255) and her current practice location is
Anna Marsh Lane, Brattleboro, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 257-7785.
NPI number for Carol Stack is 1164526703 and her current mailing address is Anna Marsh Lane, Brattleboro, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164526703.
Provider's Profile
Full Name | Carol Stack |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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Location | Anna Marsh Lane, Brattleboro, Vermont |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164526703
- Provider Enumeration Date: 09/12/2006
- Last Update Date: 09/05/2008
Medical Identifiers
Medical identifiers for Carol Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164526703 | NPI | - | NPPES |
101-0011225 | Other | VT | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 101-00112255 (Vermont) | 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. Carol 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 Address | Practice Location Address |
Carol Stack, APRN Anna Marsh Lane, Brattleboro, VT 05302 Ph: (802) 257-7785 | Carol Stack, APRN Anna Marsh Lane, Brattleboro, VT 05302 Ph: (802) 257-7785 |
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