Mrs Stacy Annette Church, PA-C in Charleston, WV

Mrs Stacy Annette Church, PA-C is a medicare enrolled "Physician Assistant - Medical" in Charleston, West Virginia. Her current practice location is 3100 Maccorkle Ave Se, Suite 610, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 346-1141.

Mrs Stacy Annette Church is licensed to practice in West Virginia (license number 01163) 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 1114930658.

Contact Information

	Mrs Stacy Annette Church, PA-C
	3100 Maccorkle Ave Se, Suite 610, Charleston, WV 25304-1223
	(304) 346-1141
	(304) 346-1142

Map and Direction

Provider's Profile

Full Name	Mrs Stacy Annette Church
Gender	Female
Speciality	Physician Assistant - Medical
Location	3100 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114930658
Provider Enumeration Date: 08/15/2006
Last Update Date: 06/21/2011

Medicare PECOS Information:

PECOS PAC ID: 4486745361
Enrollment ID: I20070807000396

Medical Identifiers

Medical identifiers for Mrs Stacy Annette Church such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114930658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	01163 (West Virginia)	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 Stacy Annette Church 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 Stacy Annette Church, PA-C 3100 Maccorkle Ave Se, Suite 610, Charleston, WV 25304-1223 Ph: (304) 346-1141	Mrs Stacy Annette Church, PA-C 3100 Maccorkle Ave Se, Suite 610, Charleston, WV 25304-1223 Ph: (304) 346-1141

Reviews and Comments

Physician Assistant Nurses in Charleston, WV

Mrs. Sherry Lynn Persinger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1003 Oakhurst Dr., Charleston, WV 25314 Phone: 304-345-4525 Fax: 304-345-4527
Sandra Faye Stennett, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1532 Bridge Rd Apt A, Charleston, WV 25314 Phone: 304-541-7763
Ms. Shaina Rachael Cain, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 333 Laidley St, Charleston, WV 25301 Phone: 304-347-6116 Fax: 304-347-6117
Mrs. Krystal Smithers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 208 Maccorkle Ave Se, Charleston, WV 25314 Phone: 304-343-4300 Fax: 304-343-5473
Brett Paul Zavadil, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-5432
Katie Preece, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3200 Maccorkle Ave Se Ste B-16, Charleston, WV 25304 Phone: 304-388-5848 Fax: 304-388-5848
Mr. Kevin S. Boyce, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Avenue Se,, Hospitalist Program, Charleston, WV 25304 Phone: 304-388-5848 Fax: 304-388-9654

Mrs Stacy Annette Church, PA-C - Medicare Physician Assistant in Charleston, WV