Stacey Jo Kettlewell, PA-C - Medicare Physician Assistant in Wheeling, WV

Stacey Jo Kettlewell, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Wheeling, West Virginia. Her current practice location is 1 Medical Park, Wheeling, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 243-3000.

Stacey Jo Kettlewell is licensed to practice in West Virginia (license number 1904) 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 1164806956.

Contact Information

Stacey Jo Kettlewell, PA-C
1 Medical Park,
Wheeling, WV 26003-6379
(304) 243-3000
(304) 243-3060

Map and Direction




Provider's Profile

Full NameStacey Jo Kettlewell
GenderFemale
SpecialityPhysician Assistant - Surgical
Location1 Medical Park, Wheeling, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164806956
  • Provider Enumeration Date: 07/12/2015
  • Last Update Date: 10/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9032411822
  • Enrollment ID: I20160111002646

Medical Identifiers

Medical identifiers for Stacey Jo Kettlewell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164806956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (West Virginia)Secondary
363AS0400XPhysician Assistant - Surgical 1904 (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. Stacey Jo Kettlewell 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 AddressPractice Location Address
Stacey Jo Kettlewell, PA-C
1 Medical Park,
Wheeling, WV 26003-6379

Ph: (304) 243-3000
Stacey Jo Kettlewell, PA-C
1 Medical Park,
Wheeling, WV 26003-6379

Ph: (304) 243-3000

Reviews and Comments


Physician Assistant Nurses in Wheeling, WV

Ms. Chelsea W Hewitt, PA
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Phone: 304-238-0212    Fax: 304-238-0215
Ms. Tonda Marie Stauffer, PA-C
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Phone: 304-242-4660    Fax: 304-242-6430
Mrs. Wendy Sue Allenby, PAC
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Phone: 304-242-9560    Fax: 304-242-4840
Brittney J Sobota, PA-C
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Medicare: Medicare Enrolled
Practice Location: 1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003
Phone: 304-243-3000    Fax: 304-243-1038
Katie Lynn Bolduc, PA-C
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Phone: 304-233-3240    Fax: 304-232-6128
Michelle R Wolfe, PA
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Medicare: Medicare Enrolled
Practice Location: 1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003
Phone: 304-243-3124    
Mary Viola Rankin, PA
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Medicare: Medicare Enrolled
Practice Location: 1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003
Phone: 304-243-3124    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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