Pamela Jean Stacy, LCSW, RN is a
Social Worker - Clinical based in Columbus, Indiana. Pamela Jean Stacy is licensed to practice in Indiana (license number 34006033A) and her current practice location is
720 N Marr Rd, Columbus, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 314-3400.
NPI number for Pamela Jean Stacy is 1477521466 and her current mailing address is 645 S Rogers St, Bloomington, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477521466.
Provider's Profile
Full Name | Pamela Jean Stacy |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 720 N Marr Rd, Columbus, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477521466
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 04/28/2016
Medical Identifiers
Medical identifiers for Pamela Jean Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477521466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 28142163A (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | 34006033A (Indiana) | 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. Pamela Jean Stacy 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 |
Pamela Jean Stacy, LCSW, RN 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691 | Pamela Jean Stacy, LCSW, RN 720 N Marr Rd, Columbus, IN 47201-6660 Ph: (812) 314-3400 |
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