| Stefan John Stefanovich Jr, PA | |
|
35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | |
| (518) 677-3961 | |
| (518) 677-3180 |
| Full Name | Stefan John Stefanovich Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 35 Gilbert St, Cambridge, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326039769 | NPI | - | NPPES |
| 02347377 | Medicaid | NY | |
| P00031872 | Other | NY | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 006413 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saratoga Hospital | Saratoga springs, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saratoga Hospital | 6406740273 | 353 |
| Entity Name | Saratoga Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033371166 PECOS PAC ID: 6406740273 Enrollment ID: O20040402000837 |
| Entity Name | Healthcare Partners of Saratoga Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700159613 PECOS PAC ID: 9739320938 Enrollment ID: O20130731000462 |
| Entity Name | Saratoga Regional Medical , P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982094827 PECOS PAC ID: 9032438544 Enrollment ID: O20150505002182 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefan John Stefanovich Jr, PA Po Box 304, Glens Falls, NY 12801-0304 Ph: (518) 677-3961 | Stefan John Stefanovich Jr, PA 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 Ph: (518) 677-3961 |
Gayle B Depan-cartier, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 35 Gilbert St, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180 |
Katelynn Hatalsky, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816 Phone: 518-677-3163 Fax: 518-677-3180 |
Miss Jessica Blythe Crane, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816 Phone: 518-677-3163 Fax: 518-677-3180 |
Brian Marc Resnik, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 35 Gilbert St, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180 |
Jeffrey Eric Stark, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180 |
Keana Nicole Albert, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180 |