Mrs Alicia Marie Stafford, MD in Brockton, MA

Mrs Alicia Marie Stafford, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Brockton, Massachusetts. Her current practice location is 680 Centre St, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 941-7000.

Mrs Alicia Marie Stafford is licensed to practice in Massachusetts (license number 1025166) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609360890.

Contact Information

	Mrs Alicia Marie Stafford, MD
	680 Centre St, Brockton, MA 02302-3308
	(508) 941-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Alicia Marie Stafford
Gender	Female
Speciality	Surgery - Vascular Surgery
Location	680 Centre St, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609360890
Provider Enumeration Date: 06/20/2018
Last Update Date: 08/27/2025

Medicare PECOS Information:

PECOS PAC ID: 5890048524
Enrollment ID: I20230523002143

Medical Identifiers

Medical identifiers for Mrs Alicia Marie Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609360890	NPI	-	NPPES
7100897790	Medicaid	KY
300075440	Medicaid	IN
01089757A	Other	IN	INDIANA STATE LICENSE
01089757B	Other	IN	CSR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	01089757A (Indiana)	Secondary
2086S0129X	Surgery - Vascular Surgery	1025166 (Massachusetts)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Alicia Marie Stafford allows following entities to bill medicare on her behalf.

Entity Name	Evansville Surgical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497707517 PECOS PAC ID: 1557346723 Enrollment ID: O20040622000449

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. Mrs Alicia Marie Stafford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Alicia Marie Stafford, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000	Mrs Alicia Marie Stafford, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000

Reviews and Comments

Surgery Doctors in Brockton, MA

John Mitko, Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000
Philip A Cohen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 2000, Brockton, MA 02301 Phone: 508-584-4104 Fax: 508-584-2053
Giovanni Agostino Ferrante, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 150-894-1700
Dr. Henry Lin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0766 Fax: 508-565-0097
Aqeel M Siddiqui, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 830 Oak St Ste 200w, Brockton, MA 02301 Phone: 774-480-1600
Richard L Paulson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl Street, Suite 2700, Brockton, MA 02301 Phone: 508-584-4104 Fax: 508-584-4105
Kewei Zhang, Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7400 Fax: 508-941-6200

Mrs Alicia Marie Stafford, MD - Medicare Surgery in Brockton, MA