John Sullivan Stafford, MD is a
Physician Assistant - Medical physician based in Santa Fe, Texas. John Sullivan Stafford is licensed to practice in Texas (license number PA00750) and his current practice location is 4226 Warpath Ave, Santa Fe, Texas. He can be reached at his office (for appointments etc.) via phone at
(409) 925-4949.
NPI number for John Sullivan Stafford is 1346469616 and his current mailing address is 4226 Warpath Ave, Santa Fe, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346469616.
Physician's Profile
| Full Name | John Sullivan Stafford |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 4226 Warpath Ave, Santa Fe, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346469616
- Provider Enumeration Date: 04/25/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for John Sullivan Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346469616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | G5640 (Texas) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA00750 (Texas) | 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. John Sullivan Stafford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Sullivan Stafford, MD
4226 Warpath Ave,
Santa Fe, TX 77510-8615
Ph: (409) 925-4949 | John Sullivan Stafford, MD
4226 Warpath Ave,
Santa Fe, TX 77510-8615
Ph: (409) 925-4949 |
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