| Kiley Stone, PA-C | |
|
200 High Park Ave, Goshen, IN 46526-4810 | |
| (574) 364-1000 | |
| Not Available |
| Full Name | Kiley Stone |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 200 High Park Ave, Goshen, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811883903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10004880A (Indiana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiley Stone, PA-C 28 Highland Dr, Wabash, IN 46992-2124 Ph: (260) 377-8389 | Kiley Stone, PA-C 200 High Park Ave, Goshen, IN 46526-4810 Ph: (574) 364-1000 |
Johnathon Thomas Clifton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 312-599-7043 |
Kristina M Jackowiak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2824 Elkhart Rd, Goshen, IN 46526 Phone: 574-535-1700 |
Brianna Latisnere-blosser, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2006 S Main St Ste A, Goshen, IN 46526 Phone: 574-535-9100 Fax: 574-535-1020 |
Casilda Cabral Chenier, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1811 Charlton Ct, Goshen, IN 46526 Phone: 574-534-0121 |
Devon Lee Losch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-2888 |
Elise Sharkey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-2888 |
Jonathan Newhall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-2888 Fax: 574-364-2590 |