Mrs Stacy Lyn Stockard, OTR/L | |
4500 Memorial Dr, Belleville, IL 62226-5360 | |
(618) 257-5758 | |
Not Available |
Full Name | Mrs Stacy Lyn Stockard |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Physical Rehabilitation |
Location | 4500 Memorial Dr, Belleville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437400116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT16640 (Florida) | Secondary |
225XP0019X | Occupational Therapist - Physical Rehabilitation | 056.008900 (Illinois) | Primary |
Provider Name | Mayo Clinic Jacksonville |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stacy Lyn Stockard, OTR/L 807 Sunnyhill Ln, Columbia, IL 62236-2085 Ph: (618) 219-5473 | Mrs Stacy Lyn Stockard, OTR/L 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-5758 |
Therese M Seibert, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Ste 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665 | |
Tracy Parker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Ste 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665 | |
Susan Kay Mclaughlin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Suite 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665 | |
Heather Cowden, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 Country Club Acres, Belleville, IL 62223 Phone: 618-973-8137 | |
Kathryn Stump, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2411 Pathways Xing, Belleville, IL 62221 Phone: 618-355-4700 | |
Pyrkia Health Services Pllc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 101 Lake Forest Dr, Belleville, IL 62220 Phone: 618-873-3710 | |
Kristie Lynne Porter, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-236-7588 |