Individual ProviderStacy MusialSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1136 E Stuart St Ste 101, Fort Collins, CO 80525-1195(970) 236-1866PECOS EnrollmentBased on the most recent information from CMS, provider Stacy Musial is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1972911535Provider TypeIndividualFull NameMusial, StacyCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date7/28/2014Last Updated8/22/2022Contact InformationPractice LocationPractice Address1136 E Stuart St Ste 101, Fort Collins, CO 80525-1195Phone(970) 236-1866FaxUnlisted FaxMailing LocationMailing Address1024 Oxford Ln Unit 68, Fort Collins, CO 80525-2237Phone(970) 236-1866FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense09923473ColoradoProvider IdentifiersIDDescriptionIssuerID1972911535DescriptionMedicaidIssuerUnlistedColorado