Stacy Tan, is a
Licensed Vocational Nurse based in Box Elder, Montana. Stacy Tan is licensed to practice in California (license number 217537) and her current practice location is
535 Clinic Rd E, Box Elder, Montana. She can be reached at her office (for appointments etc.) via phone at
(406) 395-4395.
NPI number for Stacy Tan is 1982057980 and her current mailing address is 535 Clinic Rd E, Box Elder, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982057980.
Provider's Profile
Full Name | Stacy Tan |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 535 Clinic Rd E, Box Elder, Montana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982057980
- Provider Enumeration Date: 07/14/2016
- Last Update Date: 07/14/2016
Medical Identifiers
Medical identifiers for Stacy Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982057980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 217537 (California) | 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 Tan 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 Tan, 535 Clinic Rd E, Box Elder, MT 59521-8826 Ph: (406) 395-4395 | Stacy Tan, 535 Clinic Rd E, Box Elder, MT 59521-8826 Ph: (406) 395-4395 |
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