Dr. Cassandra Lynne Stacy is a Eagan, Minnesota based Oral and Maxillofacial Surgeon with 24 years of experience in Oral and Maxillofacial Surgery. She completed her graduation from University Of Kentucky College Of Medicine in 2001. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Cassandra Lynne Stacy is D12052 for Oral and Maxillofacial Surgery in Minnesota. Her current practice location is 2130 Cliff Rd Ste 100, Eagan. Patients can reach her at 651-452-6933.
Dr. Cassandra Lynne Stacy deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Cassandra Lynne Stacy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9032151816
Enrollment ID:
I20050523001187
NPI Number:
1033179577
NPI Enumeration Date:
27 Mar, 2006
NPI Last Update On:
06 Nov, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Cassandra Lynne Stacy are as mentioned below.
License Number
Specialization
State
Status
D12052
Oral and Maxillofacial Surgery
Minnesota
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Cassandra Lynne Stacy is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Dakota Valley Oral And Maxillofacial Surgery Pllc (9436127560)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Cassandra Lynne Stacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
116645000
Medicaid
Minnesota
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
She does not participate in the Physician Quality Reporting System Incentive Program.
EHR
She does not participate in the Electronic Health Record Incentive Program.
MHI
She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2130 Cliff Rd Ste 100, Eagan, Minnesota
Zip:
55122-2486
Phone Number:
651-452-6933
Patients can reach Dr. Cassandra Lynne Stacy at 2130 Cliff Rd Ste 100, Eagan, Minnesota or can call to book an appointment on 651-452-6933. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.