Staci Worm, MOT, OTR/L in David City, NE - Preventive Medicine

Staci Worm, MOT, OTR/L is a Preventive Medicine - Occupational Medicine physician based in David City, Nebraska. Staci Worm is licensed to practice in Nebraska (license number 1932) and her current practice location is 372 S 9th St, David City, Nebraska. She can be reached at her office (for appointments etc.) via phone at (402) 367-1200.

NPI number for Staci Worm is 1003285909 and her current mailing address is 456 N 8th St, David City, Nebraska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003285909.

Contact Information

	Staci Worm, MOT, OTR/L
	372 S 9th St, David City, NE 68632-2116
	(402) 367-1200
	(855) 681-9015

Physician's Profile

Full Name	Staci Worm
Gender	Female
Speciality	Preventive Medicine - Occupational Medicine
Location	372 S 9th St, David City, Nebraska
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1003285909
Provider Enumeration Date: 09/21/2015
Last Update Date: 09/21/2015

Medical Identifiers

Medical identifiers for Staci Worm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003285909	NPI	-	NPPES
1932	Other	NE	OCCUPATIONAL THERAPIST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	1932 (Nebraska)	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. Staci Worm 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
Staci Worm, MOT, OTR/L 456 N 8th St, David City, NE 68632-1708 Ph: (402) 641-1501	Staci Worm, MOT, OTR/L 372 S 9th St, David City, NE 68632-2116 Ph: (402) 367-1200

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Staci Worm, MOT, OTR/L - Preventive Medicine in David City, NE