Dr Wanida Stoutenburg, DPM is a
Podiatrist based in Tillson, New York. Dr Wanida Stoutenburg is licensed to practice in New York (license number N005408) and her current practice location is
65 Bloomingdale Rd, Tillson, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 658-8415.
NPI number for Dr Wanida Stoutenburg is 1447316021 and her current mailing address is 65 Bloomingdale Rd, Tillson, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447316021.
Healthcare Provider's Profile
Full Name | Dr Wanida Stoutenburg |
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Gender | Female |
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Speciality | Podiatrist |
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Location | 65 Bloomingdale Rd, Tillson, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447316021
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Wanida Stoutenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447316021 | NPI | - | NPPES |
01779322 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | N005408 (New York) | 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. Dr Wanida Stoutenburg 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 |
Dr Wanida Stoutenburg, DPM 65 Bloomingdale Rd, Tillson, NY 12486-1307 Ph: (845) 658-8415 | Dr Wanida Stoutenburg, DPM 65 Bloomingdale Rd, Tillson, NY 12486-1307 Ph: (845) 658-8415 |
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