Mrs Stacey Marie Shoop, MD in Santa Ana, CA - Medicare Physician Assistant

Mrs Stacey Marie Shoop, MD is a medicare enrolled "Physician Assistant - Medical" in Santa Ana, California. Her current practice location is 2621 S Bristol St, Ste 108, Santa Ana, California. You can reach out to her office (for appointments etc.) via phone at (714) 754-1684.

Mrs Stacey Marie Shoop is licensed to practice in California (license number PA52143) 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 1104222124.

Contact Information

	Mrs Stacey Marie Shoop, MD
	2621 S Bristol St, Ste 108, Santa Ana, CA 92704-5718
	(714) 754-1684
	(714) 966-0417

Map and Direction

Provider's Profile

Full Name	Mrs Stacey Marie Shoop
Gender	Female
Speciality	Physician Assistant - Medical
Location	2621 S Bristol St, Santa Ana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104222124
Provider Enumeration Date: 11/19/2014
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 5496089096
Enrollment ID: I20190702002033

Medical Identifiers

Medical identifiers for Mrs Stacey Marie Shoop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104222124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA52143 (California)	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 Stacey Marie Shoop 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 Stacey Marie Shoop, MD 2621 S Bristol St, Ste 108, Santa Ana, CA 92704-5718 Ph: (714) 754-1684	Mrs Stacey Marie Shoop, MD 2621 S Bristol St, Ste 108, Santa Ana, CA 92704-5718 Ph: (714) 754-1684

Reviews and Comments

Physician Assistant Nurses in Santa Ana, CA

Ivonne Landeros, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2010 Elite Pain Management, Suite 100, Santa Ana, CA 92705 Phone: 714-556-7246
Angelica Maria Ross, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1226 N Broadway, Santa Ana, CA 92701 Phone: 714-825-0940
Michael Coker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 902 N Grand Ave Ste 100, Santa Ana, CA 92701 Phone: 714-285-0014
Fasiha Rashid Memon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2621 S Bristol St Ste 202, Santa Ana, CA 92704 Phone: 657-900-4536
Jennifer Lyn O'herin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1619 E Edinger Ave, Santa Ana, CA 92705 Phone: 714-542-8904
Alicia Tokunaga, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2621 S Bristol St #203, Santa Ana, CA 92707 Phone: 999-999-9999
Ms. Tammy Thu Nguyen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1610 W Edinger Ave, Suite B, Santa Ana, CA 92704 Phone: 714-641-1610 Fax: 714-641-1146

Mrs Stacey Marie Shoop, MD - Medicare Physician Assistant in Santa Ana, CA