Stephanie K Pridemore, PA is a medicare enrolled "Physician Assistant" physician in Lexington, Kentucky. Her current practice location is
740 S Limestone Ste C300, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 257-5405.
Stephanie K Pridemore is licensed to practice in Kentucky (license number PA602) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922269307.
Physician's Profile
| Full Name | Stephanie K Pridemore |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 740 S Limestone Ste C300, Lexington, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stephanie K Pridemore attended and graduated from in
NPI Data:
- NPI Number: 1922269307
- Provider Enumeration Date: 06/19/2008
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Stephanie K Pridemore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922269307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | PA602 (Kentucky) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA602 (Kentucky) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA602 (Kentucky) | Secondary |
| 363A00000X | Physician Assistant | PA602 (Kentucky) | 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. Stephanie K Pridemore 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 |
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Stephanie K Pridemore, PA
1618 Harrodsburg Rd,
Lexington, KY 40504-3706
Ph: (859) 288-5004 | Stephanie K Pridemore, PA
740 S Limestone Ste C300,
Lexington, KY 40536-3706
Ph: (859) 257-5405 |
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