| Stacey Pault, PA-C | |
|
230 E Marydale Ave, Soldotna, AK 99669-7648 | |
| (907) 262-3119 | |
| (907) 262-9290 |
| Full Name | Stacey Pault |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 230 E Marydale Ave, Soldotna, Alaska |
| 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 |
|---|---|---|---|
| 1356621643 | NPI | - | NPPES |
| 1679563 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-3281 (Colorado) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 127937 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kenai Peninsula Home Health, Llc | Soldotna, AK | Home health agency |
| Central Peninsula General Hospital | Soldotna, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peninsula Community Health Services Of Alaska Inc | 8426043894 | 20 |
| Entity Name | Peninsula Community Health Services of Alaska Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984614 PECOS PAC ID: 8426043894 Enrollment ID: O20040415000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Pault, PA-C 230 E Marydale Ave, Soldotna, AK 99669-7648 Ph: (907) 262-3119 | Stacey Pault, PA-C 230 E Marydale Ave, Soldotna, AK 99669-7648 Ph: (907) 262-3119 |
Danna Mavis Constance Moisii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35670 Kenai Spur Hwy Ste 102, Soldotna, AK 99669 Phone: 907-921-2221 Fax: 907-921-2201 |
Robin Lynn Morris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Pl Ste 204b, Soldotna, AK 99669 Phone: 907-714-4120 Fax: 844-412-3943 |
Shane Udelhoven, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35670 Kenai Spur Hwy Ste 103a, Soldotna, AK 99669 Phone: 907-260-1655 Fax: 980-495-8870 |
Mr. William E Newberry, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 247 N Fireweed St, Suite A, Soldotna, AK 99669 Phone: 907-262-8597 Fax: 907-262-6516 |
Caryn Diane Deluca, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 291 North Fireweed, Soldotna, AK 99669 Phone: 907-262-6454 Fax: 907-262-0832 |
Kali Saxton-shaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 247 N Fireweed St, Soldotna, AK 99669 Phone: 907-262-8597 Fax: 844-912-3956 |
Susan A. Reed, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Pl Ste 104, Soldotna, AK 99669 Phone: 907-714-5770 Fax: 907-714-3111 |