Stephanie Hsieh, is a medicare enrolled "Physician Assistant" in Gualala, California. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Imperial Beach Community Clinic and her current practice location is
38001 Old Stage Rd, Gualala, California. You can reach out to her office (for appointments etc.) via phone at
(707) 412-3176.
Stephanie Hsieh is licensed to practice in California (license number 63007) 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 1720868045.
Provider's Profile
| Full Name | Stephanie Hsieh |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 38001 Old Stage Rd, Gualala, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stephanie Hsieh graduated from nursing school in 2023
NPI Data:
- NPI Number: 1720868045
- Provider Enumeration Date: 10/03/2023
- Last Update Date: 02/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 9537600788
- Enrollment ID: I20240916002350
Medical Identifiers
Medical identifiers for Stephanie Hsieh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720868045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA63007 (California) | Secondary |
| 363A00000X | Physician Assistant | 63007 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Imperial Beach Community Clinic | 6709867880 | 13 |
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 Hsieh 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 Hsieh,
Po Box 1196,
Gualala, CA 95445-1196
Ph: () - | Stephanie Hsieh,
38001 Old Stage Rd,
Gualala, CA 95445-8543
Ph: (707) 412-3176 |
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