| Stacey Maria Walton, PA-C | |
|
10 9th Ave E, Lisbon, ND 58054-4738 | |
| (701) 683-4711 | |
| (701) 683-3205 |
| Full Name | Stacey Maria Walton |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 10 9th Ave E, Lisbon, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801868062 | NPI | - | NPPES |
| 26331 | Other | ND | BCBS ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0336 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health At Home - Hha | Valley city, ND | Home health agency |
| Sanford | Fargo, ND | Hospital |
| Chi Lisbon Health | Lisbon, ND | Hospital |
| Chi Oakes Hospital | Oakes, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1210 |
| Entity Name | Lisbon Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811168958 PECOS PAC ID: 4486562873 Enrollment ID: O20041008000975 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Maria Walton, PA-C 10 9th Ave E, Lisbon, ND 58054-4738 Ph: (701) 683-4711 | Stacey Maria Walton, PA-C 10 9th Ave E, Lisbon, ND 58054-4738 Ph: (701) 683-4711 |
Katie L Tanner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 819 Main St, Lisbon, ND 58054 Phone: 701-683-4134 Fax: 701-683-4094 |
Bruce D Larson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 819 Main St, Lisbon, ND 58054 Phone: 701-683-4134 Fax: 701-683-4094 |
Carly Jo Schultz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 819 Main St, Lisbon, ND 58054 Phone: 701-683-4134 |