Stacy Gayle Fuqua, is a
Speech-language Pathologist based in Perry, Missouri. Stacy Gayle Fuqua is licensed to practice in Missouri (license number 00963) and her current practice location is
208 S Richards St, Perry, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 565-3105.
NPI number for Stacy Gayle Fuqua is 1992869788 and her current mailing address is 208 S Richards St, Perry, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992869788.
Healthcare Provider's Profile
Full Name | Stacy Gayle Fuqua |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 208 S Richards St, Perry, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992869788
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Stacy Gayle Fuqua such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992869788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 00963 (Missouri) | 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 Gayle Fuqua 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 Gayle Fuqua, 208 S Richards St, Perry, MO 63462-1428 Ph: (573) 565-3105 | Stacy Gayle Fuqua, 208 S Richards St, Perry, MO 63462-1428 Ph: (573) 565-3105 |
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