Stacey Nicole Meyer, OTR/L is a
Occupational Therapist based in Breese, Illinois. Stacey Nicole Meyer is licensed to practice in Illinois (license number 056.006039) and her current practice location is
8089 Northland Dr, Breese, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 830-6413.
NPI number for Stacey Nicole Meyer is 1275693905 and her current mailing address is 8089 Northland Dr, Breese, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275693905.
Healthcare Provider's Profile
Full Name | Stacey Nicole Meyer |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 8089 Northland Dr, Breese, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275693905
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 12/10/2019
Medical Identifiers
Medical identifiers for Stacey Nicole Meyer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275693905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 1999137812 (Missouri) | Secondary |
222Q00000X | Developmental Therapist | (Illinois) | Secondary |
225X00000X | Occupational Therapist | 056.006039 (Illinois) | 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. Stacey Nicole Meyer 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 |
Stacey Nicole Meyer, OTR/L 8089 Northland Dr, Breese, IL 62230-2547 Ph: (618) 830-6413 | Stacey Nicole Meyer, OTR/L 8089 Northland Dr, Breese, IL 62230-2547 Ph: (618) 830-6413 |
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