Andrew Edwin Stader, is a medicare enrolled "Physician Assistant" provider in Platteville, Wisconsin. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southwest Health Center Inc and his current practice location is
1450 Eastside Rd, Platteville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 348-4330.
Andrew Edwin Stader is licensed to practice in Wisconsin (license number 4031-23) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639431935.
Healthcare Provider's Profile
| Full Name | Andrew Edwin Stader |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 1450 Eastside Rd, Platteville, Wisconsin |
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| Accepts Medicare Assignments | Yes. He 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:
- Andrew Edwin Stader graduated from medical school in 2017
NPI Data:
- NPI Number: 1639431935
- Provider Enumeration Date: 06/12/2012
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739450321
- Enrollment ID: I20170731002912
Medical Identifiers
Medical identifiers for Andrew Edwin Stader such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639431935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1035546 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 4031-23 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southwest Health Center Inc | 3072427772 | 76 |
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. Andrew Edwin Stader 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 |
|---|
Andrew Edwin Stader,
1450 Eastside Rd,
Platteville, WI 53818-9800
Ph: (608) 348-4330 | Andrew Edwin Stader,
1450 Eastside Rd,
Platteville, WI 53818-9800
Ph: (608) 348-4330 |
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