Stephanie Anne Manceor, PA-C is a medicare enrolled "Physician Assistant" in Sunset, South Carolina. Her current practice location is
244 Saranac Dr, Sunset, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(713) 419-6547.
Stephanie Anne Manceor is licensed to practice in Tennessee (license number 4137) 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 1821618604.
Provider's Profile
Full Name | Stephanie Anne Manceor |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 244 Saranac Dr, Sunset, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821618604
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 04/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779012927
- Enrollment ID: I20250203000444
Medical Identifiers
Medical identifiers for Stephanie Anne Manceor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821618604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 4137 (Tennessee) | 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. Stephanie Anne Manceor 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 |
Stephanie Anne Manceor, PA-C 244 Saranac Dr, Sunset, SC 29685-1619 Ph: (713) 419-6547 | Stephanie Anne Manceor, PA-C 244 Saranac Dr, Sunset, SC 29685-1619 Ph: (713) 419-6547 |
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