Mr Stephen Nolan, PA-C is a medicare enrolled "Physician Assistant" provider in Philadelphia, Pennsylvania. His current practice location is
2231 Bryn Mawr Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 883-0800.
Mr Stephen Nolan is licensed to practice in Pennsylvania (license number MA065409) 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 1083908974.
Healthcare Provider's Profile
Full Name | Mr Stephen Nolan |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 2231 Bryn Mawr Ave, Philadelphia, Pennsylvania |
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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: 1083908974
- Provider Enumeration Date: 06/08/2011
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527599133
- Enrollment ID: I20241008000038
Medical Identifiers
Medical identifiers for Mr Stephen Nolan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083908974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | MA065409 (Pennsylvania) | 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. Mr Stephen Nolan 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 |
Mr Stephen Nolan, PA-C 400 Fayette St # 180, Conshohocken, PA 19428-2186 Ph: () - | Mr Stephen Nolan, PA-C 2231 Bryn Mawr Ave, Philadelphia, PA 19131-2530 Ph: (215) 883-0800 |
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