Evan Stoler, PA is a medicare enrolled "Physician Assistant" provider in Cranston, Rhode Island. His current practice location is
1150 Reservoir Ave Ste 203, Cranston, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 259-0340.
Evan Stoler is licensed to practice in Rhode Island (license number PA01584) 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 1053909895.
Healthcare Provider's Profile
Full Name | Evan Stoler |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1150 Reservoir Ave Ste 203, Cranston, Rhode Island |
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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: 1053909895
- Provider Enumeration Date: 01/07/2021
- Last Update Date: 07/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365822848
- Enrollment ID: I20220629003495
Medical Identifiers
Medical identifiers for Evan Stoler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053909895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | PA01584 (Rhode Island) | Secondary |
363A00000X | Physician Assistant | 1167869 (Nebraska) | Secondary |
363A00000X | Physician Assistant | PA01584 (Rhode Island) | 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. Evan Stoler 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 |
Evan Stoler, PA 1301 Richmond Ave, Houston, TX 77006-5451 Ph: () - | Evan Stoler, PA 1150 Reservoir Ave Ste 203, Cranston, RI 02920-6032 Ph: (401) 259-0340 |
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