| Mary Jaeger Stacy, FNP | |
|
5957 Main St, Northshire Medical Center, Manchester Center, VT 05255-8913 | |
| (802) 362-4440 | |
| (802) 362-7146 |
| Full Name | Mary Jaeger Stacy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5957 Main St, Manchester Center, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790741072 | NPI | - | NPPES |
| 0NP1782 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 101-0019775 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jaeger Stacy, FNP 5957 Main Street, Northshire Medical Center, Manchester, VT 05255 Ph: (802) 362-4440 | Mary Jaeger Stacy, FNP 5957 Main St, Northshire Medical Center, Manchester Center, VT 05255-8913 Ph: (802) 362-4440 |
William Goodwin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5053 Main St, Manchester Center, VT 05255 Phone: 802-293-2929 Fax: 802-419-8311 | |
Ingrid Alicia Hohenforst, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4686 Main St, Manchester Center, VT 05255 Phone: 802-768-1699 | |
Morgan Ray Bazyk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34 Bonnet St, Manchester Center, VT 05255 Phone: 802-768-1718 |