Stacey Kranendonk, PA-C is a medicare enrolled "Physician Assistant" in Needham, Massachusetts. Her current practice location is
1450 Highland Ave, Needham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 449-0020.
Stacey Kranendonk is licensed to practice in * (Not Available) (license number ) 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 1801593165.
Provider's Profile
Full Name | Stacey Kranendonk |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1450 Highland Ave, Needham, Massachusetts |
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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: 1801593165
- Provider Enumeration Date: 02/07/2023
- Last Update Date: 03/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890157911
- Enrollment ID: I20230821003485
Medical Identifiers
Medical identifiers for Stacey Kranendonk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801593165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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 Kranendonk 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 |
Stacey Kranendonk, PA-C 1450 Highland Ave, Needham, MA 02492-2690 Ph: () - | Stacey Kranendonk, PA-C 1450 Highland Ave, Needham, MA 02492-2690 Ph: (781) 449-0020 |
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