Mrs Pamela S Stallo, MD in Scott Depot, WV

Mrs Pamela S Stallo, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Scott Depot, West Virginia. Her current practice location is 63 Corporate Center Dr, Scott Depot, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 691-8870.

Mrs Pamela S Stallo is licensed to practice in West Virginia (license number 16984) 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 1477554574.

Contact Information

	Mrs Pamela S Stallo, MD
	63 Corporate Center Dr, Scott Depot, WV 25560-7841
	(304) 691-8870
	(304) 691-1665

Map and Direction

Physician's Profile

Full Name	Mrs Pamela S Stallo
Gender	Female
Speciality	Pediatrics - Adolescent Medicine
Location	63 Corporate Center Dr, Scott Depot, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477554574
Provider Enumeration Date: 08/10/2005
Last Update Date: 12/23/2021

Medicare PECOS Information:

PECOS PAC ID: 6305271842
Enrollment ID: I20200110001497

Medical Identifiers

Medical identifiers for Mrs Pamela S Stallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477554574	NPI	-	NPPES
0107899000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	16984 (West Virginia)	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. Mrs Pamela S Stallo 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 Pamela S Stallo, MD 63 Corporate Center Dr, Scott Depot, WV 25560-7841 Ph: (304) 691-8870	Mrs Pamela S Stallo, MD 63 Corporate Center Dr, Scott Depot, WV 25560-7841 Ph: (304) 691-8870

Reviews and Comments

Pediatrics Doctors in Scott Depot, WV

Abdullah Shabarek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560 Phone: 304-691-6800
Dr. Susanna A. Kapourales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560 Phone: 304-691-8870 Fax: 304-691-6751
Ms. Ann M. Lambernedis, M.D, Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Great Teays Blvd Ste 101, Scott Depot, WV 25560 Phone: 304-757-8803 Fax: 304-757-8803
Mary J Bailey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-201-5019
Denise Nicole Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Great Teays Blvd, Scott Depot, WV 25560 Phone: 304-757-8803 Fax: 304-757-6904
Dr. Beth Bloom Emrick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Corporate Center Dr., Scott Depot, WV 25560 Phone: 304-691-8901 Fax: 304-691-1679
Angela Beth Ferguson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301-6 Great Teays Blvd, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-757-3252

Mrs Pamela S Stallo, MD - Medicare Pediatrics in Scott Depot, WV