Mr Phillip E Stevenson, PA-C is a medicare enrolled "Physician Assistant" in Payette, Idaho. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2008 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lp Derm Llc, Lp Derm Llc and his current practice location is
1441 Ne 10th Ave, Payette, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 642-9376.
Mr Phillip E Stevenson is licensed to practice in Idaho (license number PENDING) 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 1871744425.
Provider's Profile
| Full Name | Mr Phillip E Stevenson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 18 Years |
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| Location | 1441 Ne 10th Ave, Payette, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Phillip E Stevenson attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2008
NPI Data:
- NPI Number: 1871744425
- Provider Enumeration Date: 10/01/2008
- Last Update Date: 12/01/2008
Medicare PECOS Information:
- PECOS PAC ID: 3577624063
- Enrollment ID: I20081202000628
Medical Identifiers
Medical identifiers for Mr Phillip E Stevenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871744425 | NPI | - | NPPES |
| 808211700 | Medicaid | ID | |
| 808211701 | Medicaid | ID | |
| 808211702 | Medicaid | ID | |
| 012345 | Other | ID | LICENSE PENDING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PENDING (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lp Derm Llc | 9537533856 | 3 |
| Lp Derm Llc | 9537533856 | 3 |
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. Mr Phillip E Stevenson 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 |
|---|
Mr Phillip E Stevenson, PA-C
1441 Ne 10th Ave,
Payette, ID 83661-5420
Ph: (208) 642-9376 | Mr Phillip E Stevenson, PA-C
1441 Ne 10th Ave,
Payette, ID 83661-5420
Ph: (208) 642-9376 |
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