Stacy Leigh Lichtig, NP is a
Nurse Practitioner - Primary Care based in Colgate, Wisconsin. Stacy Leigh Lichtig is licensed to practice in Wisconsin (license number 15927-33) and her current practice location is
N95w25901 County Line Rd Ste F, Colgate, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 628-3727.
NPI number for Stacy Leigh Lichtig is 1003630914 and her current mailing address is W197n12556 Prairie Ridge Ct, Richfield, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003630914.
Provider's Profile
Full Name | Stacy Leigh Lichtig |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | N95w25901 County Line Rd Ste F, Colgate, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003630914
- Provider Enumeration Date: 11/08/2024
- Last Update Date: 11/08/2024
Medical Identifiers
Medical identifiers for Stacy Leigh Lichtig such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003630914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 15927-33 (Wisconsin) | 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 Leigh Lichtig 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 Leigh Lichtig, NP W197n12556 Prairie Ridge Ct, Richfield, WI 53076-9443 Ph: (414) 526-1338 | Stacy Leigh Lichtig, NP N95w25901 County Line Rd Ste F, Colgate, WI 53017-9225 Ph: (262) 628-3727 |
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