Stacy Brown, OT is a
Clinical Nurse Specialist - Occupational Health based in Tifton, Georgia. Stacy Brown is licensed to practice in Georgia (license number OTA001175) and her current practice location is
901 18th St E, Tifton, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 353-6124.
NPI number for Stacy Brown is 1952723603 and her current mailing address is 901 18th St E, Tifton, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952723603.
Provider's Profile
| Full Name | Stacy Brown |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist - Occupational Health |
|---|
| Location | 901 18th St E, Tifton, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1952723603
- Provider Enumeration Date: 01/15/2014
- Last Update Date: 01/15/2014
Medical Identifiers
Medical identifiers for Stacy Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952723603 | NPI | - | NPPES |
| OTA001175 | Other | GA | LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SX0106X | Clinical Nurse Specialist - Occupational Health | OTA001175 (Georgia) | 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. Stacy Brown 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 |
|---|
Stacy Brown, OT
901 18th St E,
Tifton, GA 31794-3648
Ph: (229) 353-6124 | Stacy Brown, OT
901 18th St E,
Tifton, GA 31794-3648
Ph: (229) 353-6124 |
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