Stacie Lin Rogers, LPN is a
Licensed Practical Nurse based in Ellisburg, New York. Stacie Lin Rogers is licensed to practice in New York (license number 326563) and her current practice location is
12283 State Route 193, Ellisburg, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 783-0908.
NPI number for Stacie Lin Rogers is 1083133169 and her current mailing address is 12283 State Route 193, Ellisburg, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083133169.
Provider's Profile
| Full Name | Stacie Lin Rogers |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 12283 State Route 193, Ellisburg, New York |
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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: 1083133169
- Provider Enumeration Date: 09/11/2017
- Last Update Date: 09/11/2017
Medical Identifiers
Medical identifiers for Stacie Lin Rogers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083133169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 326563 (New York) | 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. Stacie Lin Rogers 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 |
|---|
Stacie Lin Rogers, LPN
12283 State Route 193,
Ellisburg, NY 13636-2115
Ph: () - | Stacie Lin Rogers, LPN
12283 State Route 193,
Ellisburg, NY 13636
Ph: (315) 783-0908 |
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