Stacy Warren, PA-C - Medicare Physician Assistant in Philadelphia, PA

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Stacy Warren, PA-C is a medicare enrolled "Physician Assistant" in Philadelphia, Pennsylvania. Her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-2000.

Stacy Warren is licensed to practice in New Jersey (license number 25MP00253300) 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 1558651240.

Contact Information

Stacy Warren, PA-C
3401 N Broad St,
Philadelphia, PA 19140-5103
(215) 707-2000
Not Available

Map and Direction




Provider's Profile

Full NameStacy Warren
GenderFemale
SpecialityPhysician Assistant
Location3401 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558651240
  • Provider Enumeration Date: 04/14/2011
  • Last Update Date: 08/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4981880796
  • Enrollment ID: I20180919001229

Medical Identifiers

Medical identifiers for Stacy Warren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558651240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 25MP00253300 (New Jersey)Primary
363A00000XPhysician Assistant MA054764 (Pennsylvania)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Warren allows following entities to bill medicare on her behalf.
Entity NameAdvanced Cardiology of South Jersey
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083894885
PECOS PAC ID: 2466461678
Enrollment ID: O20060418000009

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. Stacy Warren 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 AddressPractice Location Address
Stacy Warren, PA-C
4 Burton Ln, Ste 100,
Mullica Hill, NJ 08062-9441

Ph: (856) 241-3838		Stacy Warren, PA-C
3401 N Broad St,
Philadelphia, PA 19140-5103

Ph: (215) 707-2000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.