Miss Stephany Matallana, PA in Saint Johns, FL - Medicare Physician Assistant

Miss Stephany Matallana, PA is a medicare enrolled "Physician Assistant" in Saint Johns, Florida. Her current practice location is 774 State Road 13 N, Saint Johns, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 224-5437.

Miss Stephany Matallana is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609582543.

Contact Information

	Miss Stephany Matallana, PA
	774 State Road 13 N, Saint Johns, FL 32259-3857
	(904) 224-5437
	(904) 647-2692

Map and Direction

Provider's Profile

Full Name	Miss Stephany Matallana
Gender	Female
Speciality	Physician Assistant
Location	774 State Road 13 N, Saint Johns, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609582543
Provider Enumeration Date: 01/24/2023
Last Update Date: 04/09/2026

Medicare PECOS Information:

PECOS PAC ID: 7719350891
Enrollment ID: I20230310002670

Medical Identifiers

Medical identifiers for Miss Stephany Matallana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609582543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Miss Stephany Matallana 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
Miss Stephany Matallana, PA 774 State Road 13 N, Saint Johns, FL 32259-3857 Ph: () -	Miss Stephany Matallana, PA 774 State Road 13 N, Saint Johns, FL 32259-3857 Ph: (904) 224-5437

Reviews and Comments

Physician Assistant Nurses in Saint Johns, FL

Mary Stephens Mathis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459
Kimberly Eccher, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1820 State Road 13 Ste 11-926, Saint Johns, FL 32259 Phone: 888-730-5220
Chase Baruch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Saint Elizabeth Way Ste 270, Saint Johns, FL 32259 Phone: 904-691-1001 Fax: 904-691-1002
Victoria Edwards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Village Oaks Dr, Saint Johns, FL 32259 Phone: 904-240-0442
Irina Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1633 Race Track Rd, Saint Johns, FL 32259 Phone: 786-614-3155
Michael Mazzoni, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Leese Dr, Saint Johns, FL 32259 Phone: 210-243-5456
Pamela H Montano, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2050 Saint Johns Pkwy Ste 106, Saint Johns, FL 32259 Phone: 904-526-7480

Miss Stephany Matallana, PA - Medicare Physician Assistant in Saint Johns, FL