Stephanie Dawn Blodgett, PA-C - Medicare Physician Assistant in Mission Viejo, CA

Stephanie Dawn Blodgett, PA-C is a medicare enrolled "Physician Assistant" in Mission Viejo, California. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 23962 Alicia Pkwy Ste I-1, Mission Viejo, California. You can reach out to her office (for appointments etc.) via phone at (949) 452-7699.

Stephanie Dawn Blodgett is licensed to practice in California (license number PA19213) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720287170.

Contact Information

Stephanie Dawn Blodgett, PA-C
23962 Alicia Pkwy Ste I-1,
Mission Viejo, CA 92691-3940
(949) 452-7699
Not Available

Map and Direction




Provider's Profile

Full NameStephanie Dawn Blodgett
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
Location23962 Alicia Pkwy Ste I-1, Mission Viejo, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephanie Dawn Blodgett graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1720287170
  • Provider Enumeration Date: 07/16/2007
  • Last Update Date: 11/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436243193
  • Enrollment ID: I20070926000184

Medical Identifiers

Medical identifiers for Stephanie Dawn Blodgett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720287170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA19213 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group600272917511250

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. Stephanie Dawn Blodgett allows following entities to bill medicare on her behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameHmh Emergency Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659383024
PECOS PAC ID: 7911800826
Enrollment ID: O20040128001215
Entity NameCep America - Auc PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568861524
PECOS PAC ID: 9537481692
Enrollment ID: O20141201002085
Entity NameCorona Regional Emergency Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134629298
PECOS PAC ID: 9133481484
Enrollment ID: O20180326001396

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 Dawn Blodgett 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
Stephanie Dawn Blodgett, PA-C
2100 Powell St, Suite 900,
Emeryville, CA 94608-1826

Ph: (510) 350-2673
Stephanie Dawn Blodgett, PA-C
23962 Alicia Pkwy Ste I-1,
Mission Viejo, CA 92691-3940

Ph: (949) 452-7699

Reviews and Comments


Physician Assistant Nurses in Mission Viejo, CA

Lauren Elizabeth Vento, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691
Phone: 949-364-1400    
John Eric Mellott, P.A.
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Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691
Phone: 949-364-1400    Fax: 949-365-4941
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Jaehyun Cho, PA
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Practice Location: 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691
Phone: 949-276-2111    
Joseph Zachary Nojan,
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Practice Location: 26024 Acero, Mission Viejo, CA 92691
Phone: 714-545-5550    

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.