Mr Stuart J Macdonell, PA-C is a medicare enrolled "Physician Assistant - Medical" in Freedom, California. His current practice location is
204 Green Valley Rd, Freedom, California. You can reach out to his office (for appointments etc.) via phone at
(831) 728-2005.
Mr Stuart J Macdonell is licensed to practice in California (license number 54521) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407814247.
Provider's Profile
| Full Name | Mr Stuart J Macdonell |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 204 Green Valley Rd, Freedom, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407814247
- Provider Enumeration Date: 05/02/2006
- Last Update Date: 03/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850373044
- Enrollment ID: I20180518002054
Medical Identifiers
Medical identifiers for Mr Stuart J Macdonell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407814247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 103850 (North Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 54521 (California) | 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. Mr Stuart J Macdonell 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 Stuart J Macdonell, PA-C 6399 San Ignacio Ave Ste 120, San Jose, CA 95119-1215 Ph: (408) 369-5620 | Mr Stuart J Macdonell, PA-C 204 Green Valley Rd, Freedom, CA 95019-3135 Ph: (831) 728-2005 |
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