Mrs Alicia Marie Stafford, MD in Evansville, IN

Mrs Alicia Marie Stafford, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Evansville, Indiana. Her current practice location is 520 Mary St Ste 520, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 424-8231.

Mrs Alicia Marie Stafford is licensed to practice in Indiana (license number 01089757A) 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 1609360890.

Contact Information

	Mrs Alicia Marie Stafford, MD
	520 Mary St Ste 520, Evansville, IN 47710-1682
	(812) 424-8231
	(812) 435-8794

Map and Direction

Physician's Profile

Full Name	Mrs Alicia Marie Stafford
Gender	Female
Speciality	Surgery - Vascular Surgery
Location	520 Mary St Ste 520, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609360890
Provider Enumeration Date: 06/20/2018
Last Update Date: 09/11/2024

Medicare PECOS Information:

PECOS PAC ID: 5890048524
Enrollment ID: I20230523002143

Medical Identifiers

Medical identifiers for Mrs Alicia Marie Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609360890	NPI	-	NPPES
01089757A	Other	IN	INDIANA STATE LICENSE
01089757B	Other	IN	CSR
300075440	Medicaid	IN
7100897790	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	01089757A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Alicia Marie Stafford allows following entities to bill medicare on her behalf.

Entity Name	Evansville Surgical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497707517 PECOS PAC ID: 1557346723 Enrollment ID: O20040622000449

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. Mrs Alicia Marie Stafford 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
Mrs Alicia Marie Stafford, MD 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231	Mrs Alicia Marie Stafford, MD 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231

Reviews and Comments

Surgery Doctors in Evansville, IN

Dawn M Burgess, RNFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 2701 Lincoln Ave, Evansville, IN 47714 Phone: 812-476-4400 Fax: 812-476-0300
Dr. Santi Vibul, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 520 Mary St, Suite 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8782
Dr. Samir K. Gupta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794
Dr. Anthony David Kaiser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794
Dr. Brian W Schymik, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794
Dr. Prasad V Gade, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794
Dr. Katherine Mckenna Kottwitz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 111 S Green River Rd Ste F, Evansville, IN 47715 Phone: 812-436-1203

Mrs Alicia Marie Stafford, MD - Medicare Surgery in Evansville, IN