Mrs Stacey Lynne Evans-paulin, PA-C is a medicare enrolled "Physician Assistant - Medical" in Ellijay, Georgia. Her current practice location is
1362 S Main St, Ellijay, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 276-4741.
Mrs Stacey Lynne Evans-paulin is licensed to practice in Georgia (license number 006483) 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 1851646467.
Provider's Profile
Full Name | Mrs Stacey Lynne Evans-paulin |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1362 S Main St, Ellijay, Georgia |
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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: 1851646467
- Provider Enumeration Date: 07/19/2012
- Last Update Date: 04/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739338807
- Enrollment ID: I20121004000488
Medical Identifiers
Medical identifiers for Mrs Stacey Lynne Evans-paulin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851646467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 006483 (Georgia) | 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. Mrs Stacey Lynne Evans-paulin 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 |
Mrs Stacey Lynne Evans-paulin, PA-C 1203 Oglethorpe Dr Ne, Atlanta, GA 30319-2784 Ph: () - | Mrs Stacey Lynne Evans-paulin, PA-C 1362 S Main St, Ellijay, GA 30540-5410 Ph: (706) 276-4741 |
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