| Anna Lacy Stachler, PA-C | |
|
2650 Ridge Ave, Evanston, IL 60201-1700 | |
| (847) 570-1700 | |
| Not Available |
| Full Name | Anna Lacy Stachler |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2650 Ridge Ave, Evanston, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528751591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 085009634 (Illinois) | Primary |
| 363A00000X | Physician Assistant | 085.009634 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Endeavor Health Clinical Operations | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3330 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Cepamerica Illinois LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Lacy Stachler, PA-C 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: Not Available | Anna Lacy Stachler, PA-C 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-1700 |
Mrs. Etel Zeveleva, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 107 Clyde Ave, Evanston, IL 60202 Phone: 847-869-7389 |
Alexis Carroll, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 |
Yuvia Y Arredondo, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2023 Fax: 847-657-5732 |
Ms. Margaret Miller Carter, PA-S2 Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 2507, Evanston, IL 60201 Phone: 847-570-2560 Fax: 847-570-2930 |
Wajdey Nesheiwat, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Dept. Of Surgery Walgreen 2507, Evanston, IL 60201 Phone: 847-570-2560 Fax: 847-570-2930 |
Bomy Kim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 1223, Evanston, IL 60201 Phone: 847-982-3171 |
Sheri Lynn Tokarczyk, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Walgreen Building, Suite 2507, Evanston, IL 60201 Phone: 847-570-1171 Fax: 847-570-2930 |