Kimberly W Stackpole, - Medicare Physician Assistant in Maitland, FL

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Kimberly W Stackpole, is a medicare enrolled "Physician Assistant - Medical" in Maitland, Florida. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Halifax Healthcare Systems Inc and her current practice location is 2600 Westhall Ln Ste 4, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 200-2355.

Kimberly W Stackpole is licensed to practice in Florida (license number PA9108139) 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 1881001162.

Contact Information

Kimberly W Stackpole,
2600 Westhall Ln Ste 4,
Maitland, FL 32751-7102
(407) 200-2355
(407) 200-4947

Map and Direction




Provider's Profile

Full NameKimberly W Stackpole
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location2600 Westhall Ln Ste 4, Maitland, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly W Stackpole graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1881001162
  • Provider Enumeration Date: 07/17/2014
  • Last Update Date: 10/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3577888494
  • Enrollment ID: I20150217000092

Medical Identifiers

Medical identifiers for Kimberly W Stackpole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881001162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA9108139 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Halifax Health Medical CenterDaytona beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Halifax Healthcare Systems Inc1254238090345

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. Kimberly W Stackpole allows following entities to bill medicare on her behalf.
Entity NameHalifax Healthcare Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443
Entity NameFlorida Health Care Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558302042
PECOS PAC ID: 9436201233
Enrollment ID: O20090708000537

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. Kimberly W Stackpole 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 AddressPractice Location Address
Kimberly W Stackpole,
311 N Clyde Morris Blvd, Suite 320,
Daytona Beach, FL 32114-2781

Ph: (386) 255-5331		Kimberly W Stackpole,
2600 Westhall Ln Ste 4,
Maitland, FL 32751-7102

Ph: (407) 200-2355

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.