Clyde Richard Stephens, PAC in Roseau, MN - Medicare Physician Assistant

Clyde Richard Stephens, PAC is a medicare enrolled "Physician Assistant" in Roseau, Minnesota. He graduated from nursing school in 2000 and has 25 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lakewood Health Center and his current practice location is 711 Delmore Dr, Roseau, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 463-1365.

Clyde Richard Stephens is licensed to practice in Minnesota (license number 9532) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114964780.

Contact Information

	Clyde Richard Stephens, PAC
	711 Delmore Dr, Roseau, MN 56751-1534
	(218) 463-1365
	Not Available

Map and Direction

Provider's Profile

Full Name	Clyde Richard Stephens
Gender	Male
Speciality	Physician Assistant
Experience	25 Years
Location	711 Delmore Dr, Roseau, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clyde Richard Stephens graduated from nursing school in 2000

NPI Data:

NPI Number: 1114964780
Provider Enumeration Date: 06/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7618987074
Enrollment ID: I20060428000435

Medical Identifiers

Medical identifiers for Clyde Richard Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114964780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	9532 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakewood Health Center	Baudette, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakewood Health Center	5698687929	10

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. Clyde Richard Stephens 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
Clyde Richard Stephens, PAC 235 Old Highway 11 E, Greenbush, MN 56726-4128 Ph: (218) 782-2881	Clyde Richard Stephens, PAC 711 Delmore Dr, Roseau, MN 56751-1534 Ph: (218) 463-1365

Reviews and Comments

Physician Assistant Nurses in Roseau, MN

Ms. Renae J Matthews, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 711 Delmore Dr- Altru Clinic/roseau, Roseau, MN 56751 Phone: 218-463-1365 Fax: 704-688-9651
Marianne Renae Foldesi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Drive, Roseau, MN 56751 Phone: 218-463-1365 Fax: 320-259-8044
Aunica Isane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr., Roseau, MN 56751 Phone: 218-463-1365

Clyde Richard Stephens, PAC - Medicare Physician Assistant in Roseau, MN