Mrs Brenda Lee Stacker, LPN is a
Licensed Practical Nurse based in Van Wert, Ohio. Mrs Brenda Lee Stacker is licensed to practice in Ohio (license number PN090365) and her current practice location is
401 W Main St, Van Wert, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 238-6772.
NPI number for Mrs Brenda Lee Stacker is 1992860332 and her current mailing address is 401 W Main St, Van Wert, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992860332.
Provider's Profile
Full Name | Mrs Brenda Lee Stacker |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 401 W Main St, Van Wert, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992860332
- Provider Enumeration Date: 12/26/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Brenda Lee Stacker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992860332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN090365 (Ohio) | 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. Mrs Brenda Lee Stacker 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 Brenda Lee Stacker, LPN 401 W Main St, Van Wert, OH 45891-1640 Ph: (419) 238-6772 | Mrs Brenda Lee Stacker, LPN 401 W Main St, Van Wert, OH 45891-1640 Ph: (419) 238-6772 |
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