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STACEY TAM
NPI 1437997368
Student in an Organized Health Care Education/Training Program in Greenwood, IN

Active since July 16, 2024PECOS Enrolled
1454 GATEWICK DR, GREENWOOD, IN 46143(317) 353-4273 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey Tam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY TAM (NPI 1437997368) is an individual student in an organized health care education/training program in Greenwood, Indiana and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437997368
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACEY TAM
Location Address1454 GATEWICK DRGreenwood, IN 46143-5645
Mailing Address1454 Gatewick DrGreenwood, IN 46143-5645 · (317) 353-4273
Phone(317) 353-4273
Sole ProprietorNo
Enumeration DateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1437997368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1454 GATEWICK DR, Greenwood, IN 46143
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Tam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Tam's NPI number?

The NPI number for Stacey Tam is 1437997368. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Stacey Tam located?

Stacey Tam practices at 1454 Gatewick Dr, Greenwood, IN 46143. The listed phone number is (317) 353-4273.

What is Stacey Tam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stacey Tam enrolled in Medicare?

Yes. Stacey Tam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Tam was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.