Stacy L Manroe (NPI# 1568816528, PAC ID# 0941594899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1568816528 |
| PAC ID by PECOS | 0941594899 |
| Professional Enrollment ID | I20160816000429 |
| Full Name | Stacy L Manroe |
| Organization Legal Name | QUALIFIED SURGICAL SERVICES PLLC |
| Address |
3897 Cameron Dr Ne Lacey WA 98516-3888 |
| Phone Number | 9738268080 |
| Gender | F |
| Graduation Year | 1992 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5698068500 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500024 | PROVIDENCE ST PETER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3897 Cameron Dr Ne, Lacey, WA 98516-3888 | 9738268080 | QUALIFIED SURGICAL SERVICES PLLC |
| 3897 Cameron Dr Ne, Qss Washington, Lacey, WA 98516-3888 | 9738268080 | QUALIFIED SURGICAL SERVICES PLLC |
| Organization Legal Name | QUALIFIED SURGICAL SERVICES PLLC |
| Physicians | 1 |
| Street Address |
3897 CAMERON DR NE |
| City | LACEY |
| State | WA |
| Zip | 98516-3888 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Broudy | Physical Therapy | Therapy Management Services, Pllc | 3201 Willamette Dr Ne, Suite C, Lacey, WA 98516-1376 |
| Steven Roach | Physical Therapy | Therapy Management Services, Pllc | 3201 Willamette Dr Ne, Suite C, Lacey, WA 98516-1376 |
| Christopher L Dickerson | Physical Therapy | Puget Sound Physical Therapy LLC | 3201 Willamette Dr Ne, Suite C, Lacey, WA 98516-1376 |
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Theresa D Cirone-hornickel | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Preston Michael Stephens | Family Medicine | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Christine G Johnson | Physical Therapy | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Karen M Carlson | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Kathryn Anne Dean | Family Medicine | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Michael A Lynam | Family Medicine | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Find all physicians in zip 98516 | |||
| City | LACEY |
| Zip Code | 98516 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LACEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stacy L Manroe.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.