| Miss Kaylie Marie Stamco, | |
|
1847 S Lake Dr, Lexington, SC 29073-7759 | |
| (803) 356-8998 | |
| Not Available |
| Full Name | Miss Kaylie Marie Stamco |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1847 S Lake Dr, Lexington, South Carolina |
| 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 |
|---|---|---|---|
| 1245707942 | NPI | - | NPPES |
| 4185 | Other | SC | SC PA LICENSE |
| 0010-11220 | Other | NC | NC PA LICENSE |
| 50.006498RX | Other | OH | PA LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 50.006498RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 4185 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Urgent Cares Llc | 8628502598 | 173 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kaylie Marie Stamco, Po Box 749306, Atlanta, GA 30374-9306 Ph: () - | Miss Kaylie Marie Stamco, 1847 S Lake Dr, Lexington, SC 29073-7759 Ph: (803) 356-8998 |
Anastasiya Chumanevich, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 508 Plymouth Pass Dr, Lexington, SC 29072 Phone: 803-514-8201 | |
Jayne Alyssa Koehler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 122 Powell Dr, Lexington, SC 29072 Phone: 803-957-8400 Fax: 803-957-1939 | |
Marissa Mitter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Po Box 487, Lexington, SC 29071 Phone: 803-699-9073 Fax: 866-527-0937 | |
Maya Nassim Bougebrayel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Saluda Pointe Dr, Lexington, SC 29072 Phone: 803-296-7846 Fax: 803-296-9699 | |
Alexandra Lee Seale, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Saluda Pointe Dr, Lexington, SC 29072 Phone: 803-296-7846 Fax: 803-296-9699 | |
Chloe Johnson Harris, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5336 Sunset Blvd Ste A, Lexington, SC 29072 Phone: 803-567-8900 Fax: 803-567-8909 |