Stacy L Waneka, MD in Pacific Palisades, CA

Stacy L Waneka, MD is a medicare enrolled "Family Medicine" physician in Pacific Palisades, California. She went to University Of California, Davis School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. Her current practice location is 881 Alma Real Dr, Ste 316, Pacific Palisades, California. You can reach out to her office (for appointments etc.) via phone at (310) 454-1317.

Stacy L Waneka is licensed to practice in California (license number A68263) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1871557546.

Contact Information

	Stacy L Waneka, MD
	881 Alma Real Dr, Ste 316, Pacific Palisades, CA 90272
	(310) 454-1317
	(310) 454-1709

Map and Direction

Physician's Profile

Full Name	Stacy L Waneka
Gender	Female
Speciality	Family Practice
Experience	27 Years
Location	881 Alma Real Dr, Pacific Palisades, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacy L Waneka attended and graduated from University Of California, Davis School Of Medicine in 1997

NPI Data:

NPI Number: 1871557546
Provider Enumeration Date: 04/12/2006
Last Update Date: 07/03/2013

Medicare PECOS Information:

PECOS PAC ID: 8022920321
Enrollment ID: I20031104000704

Medical Identifiers

Medical identifiers for Stacy L Waneka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871557546	NPI	-	NPPES
203165086	Other	CA	TAX ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A68263 (California)	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. Stacy L Waneka allows following entities to bill medicare on her behalf.

Entity Name	Doctor On Demand Professionals Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346658614 PECOS PAC ID: 6406161538 Enrollment ID: O20180216001603

Entity Name	Stacy Leigh Waneka Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811622624 PECOS PAC ID: 2466835400 Enrollment ID: O20220824000181

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. Stacy L Waneka 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
Stacy L Waneka, MD 881 Alma Real Dr, Ste 316, Pacific Palisades, CA 90272 Ph: (310) 454-1317	Stacy L Waneka, MD 881 Alma Real Dr, Ste 316, Pacific Palisades, CA 90272 Ph: (310) 454-1317

Reviews and Comments

Family Medicine Doctors in Pacific Palisades, CA

Dr. Nilofar Sanaiha, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 881 Alma Real Dr Ste 214, Pacific Palisades, CA 90272 Phone: 310-459-2363
Dr. Jeffrey Alan Tipton, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15150 W Sunset Blvd, Pacific Palisades, CA 90272 Phone: 213-952-9723
Mrs. Ericka Marie Gair, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 W Sunset Blvd Ste 107, Pacific Palisades, CA 90272 Phone: 310-459-7736 Fax: 310-230-0284
Dr. Devora Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272 Phone: 310-829-8923 Fax: 424-212-5936
Erin Lynne Imler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 881 Alma Real Dr Ste 214, Pacific Palisades, CA 90272 Phone: 310-459-2363
Dr. Grace Morgan Tassa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272 Phone: 310-829-8923 Fax: 424-212-5936
Dr. Alexandra Titone, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 910 Via De La Paz Ste 100, Pacific Palisades, CA 90272 Phone: 310-459-1901

Stacy L Waneka, MD - Medicare Family Practice in Pacific Palisades, CA