Summer Grace Stephenson, is a medicare enrolled "Physician Assistant" in Caldwell, Kansas. Her current practice location is
761 W 175th St S, Caldwell, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 845-2516.
Summer Grace Stephenson is licensed to practice in * (Not Available) (license number ) 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 1033890405.
Provider's Profile
| Full Name | Summer Grace Stephenson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 761 W 175th St S, Caldwell, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033890405
- Provider Enumeration Date: 07/28/2023
- Last Update Date: 03/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042655219
- Enrollment ID: I20240227003150
Medical Identifiers
Medical identifiers for Summer Grace Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033890405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Summer Grace Stephenson 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 |
|---|
Summer Grace Stephenson,
761 W 175th St S,
Caldwell, KS 67022-8301
Ph: (620) 845-2516 | Summer Grace Stephenson,
761 W 175th St S,
Caldwell, KS 67022-8301
Ph: (620) 845-2516 |
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