Mrs Stacie M Mallon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Woodward, Iowa. Her current practice location is
30865 130th Ct, Woodward, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 490-9739.
Mrs Stacie M Mallon is licensed to practice in Iowa (license number A157443) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720614456.
Provider's Profile
Full Name | Mrs Stacie M Mallon |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 30865 130th Ct, Woodward, Iowa |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Stacie M Mallon attended and graduated from in
NPI Data:
- NPI Number: 1720614456
- Provider Enumeration Date: 03/13/2020
- Last Update Date: 03/13/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Stacie M Mallon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720614456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | A157443 (Iowa) | 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 Stacie M Mallon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Stacie M Mallon, FNP-C Po Box 276, Slater, IA 50244-0276 Ph: (515) 490-9739 | Mrs Stacie M Mallon, FNP-C 30865 130th Ct, Woodward, IA 50276-6209 Ph: (515) 490-9739 |
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