| Stacey Vasko, | |
|
22 Turtle Creek Cir, Swanton, OH 43558-8591 | |
| (419) 825-5151 | |
| (419) 825-5901 |
| Full Name | Stacey Vasko |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 22 Turtle Creek Cir, Swanton, Ohio |
| 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 |
|---|---|---|---|
| 1730681453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.005415RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health St Vincent Medical Center | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians North Specialty Care Llc | 1951707884 | 345 |
| Mercy Health Physicians North Specialty Care Llc | 1951707884 | 345 |
| Mercy Health Physicians-north Llc | 2668522400 | 131 |
| Entity Name | Mercy Health Physicians-north LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
| Entity Name | Mercy Medical Partners Northern Region LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669756532 PECOS PAC ID: 0244407823 Enrollment ID: O20120123000509 |
| Entity Name | Mercy Health Physicians North Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Entity Name | Mercy Medical Partners Northern Region Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730701749 PECOS PAC ID: 9739585480 Enrollment ID: O20210907000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Vasko, 22 Turtle Creek Cir, Swanton, OH 43558-8591 Ph: (419) 825-5151 | Stacey Vasko, 22 Turtle Creek Cir, Swanton, OH 43558-8591 Ph: (419) 825-5151 |
Kathryn Rae Taylor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 Turtle Creek Cir, Swanton, OH 43558 Phone: 419-825-5151 |