Cody Adam Stieglitz, is a medicare enrolled "Physician Assistant" provider in Florissant, Missouri. His current practice location is
1120 Shackelford Rd, Florissant, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 921-4420.
Cody Adam Stieglitz is licensed to practice in Missouri (license number 2024007251) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396390464.
Healthcare Provider's Profile
| Full Name | Cody Adam Stieglitz |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1120 Shackelford Rd, Florissant, Missouri |
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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: 1396390464
- Provider Enumeration Date: 08/06/2019
- Last Update Date: 02/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547603664
- Enrollment ID: I20240206002055
Medical Identifiers
Medical identifiers for Cody Adam Stieglitz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396390464 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Missouri) | Secondary |
| 363A00000X | Physician Assistant | 2024007251 (Missouri) | 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. Cody Adam Stieglitz 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 |
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Cody Adam Stieglitz,
Po Box 955534,
Saint Louis, MO 63195-5534
Ph: () - | Cody Adam Stieglitz,
1120 Shackelford Rd,
Florissant, MO 63031-4369
Ph: (314) 921-4420 |
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