Mrs Alexis Olivia Stambaugh, CRNP is a medicare enrolled "Nurse Practitioner - Family" physician in Lancaster, Pennsylvania. Her current practice location is
2102 Harrisburg Pike, Lancaster, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 544-9400.
Mrs Alexis Olivia Stambaugh is licensed to practice in Pennsylvania (license number SP028719) 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 1003681362.
Physician's Profile
Full Name | Mrs Alexis Olivia Stambaugh |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2102 Harrisburg Pike, Lancaster, 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: 1003681362
- Provider Enumeration Date: 11/16/2023
- Last Update Date: 11/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375996895
- Enrollment ID: I20240131001895
Medical Identifiers
Medical identifiers for Mrs Alexis Olivia Stambaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003681362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086X0206X | Surgery - Surgical Oncology | SP028719 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP028719 (Pennsylvania) | 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 Alexis Olivia Stambaugh allows following entities to bill medicare on her behalf.
Entity Name | Lancaster General Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952392383 PECOS PAC ID: 0941103683 Enrollment ID: O20040309000916 |
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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 Alexis Olivia Stambaugh 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 Alexis Olivia Stambaugh, CRNP 521 N President Ave, Lancaster, PA 17603-2601 Ph: () - | Mrs Alexis Olivia Stambaugh, CRNP 2102 Harrisburg Pike, Lancaster, PA 17601-2644 Ph: (717) 544-9400 |
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