Peggy L Stafford, is a
Licensed Practical Nurse based in Shady Spring, West Virginia. Peggy L Stafford is licensed to practice in West Virginia (license number 27310) and her current practice location is
253 Canterbury Dr, Shady Spring, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 557-9661.
NPI number for Peggy L Stafford is 1477265411 and her current mailing address is 900 Virginia St E Ste 400, Charleston, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477265411.
Provider's Profile
| Full Name | Peggy L Stafford |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | 253 Canterbury Dr, Shady Spring, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477265411
- Provider Enumeration Date: 12/21/2022
- Last Update Date: 12/21/2022
Medical Identifiers
Medical identifiers for Peggy L Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477265411 | NPI | - | NPPES |
| 1487758710 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 27310 (West Virginia) | 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. Peggy L Stafford 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 |
|---|
Peggy L Stafford,
900 Virginia St E Ste 400,
Charleston, WV 25301-2835
Ph: (681) 313-4759 | Peggy L Stafford,
253 Canterbury Dr,
Shady Spring, WV 25918-8454
Ph: (304) 557-9661 |
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