Stephanie K Pridemore, PA is a medicare enrolled "Physician Assistant" physician in Lexington, Kentucky. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Baptist Health Medical Group Inc and her current practice location is
740 S Limestone Ste C300, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 257-5405.
Stephanie K Pridemore is licensed to practice in Kentucky (license number PA602) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922269307.
Physician's Profile
| Full Name | Stephanie K Pridemore |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 24 Years |
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| Location | 740 S Limestone Ste C300, Lexington, Kentucky |
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| Accepts Medicare Assignments | Yes. She 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:
- Stephanie K Pridemore graduated from medical school in 2000
NPI Data:
- NPI Number: 1922269307
- Provider Enumeration Date: 06/19/2008
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002960275
- Enrollment ID: I20090822000032
Medical Identifiers
Medical identifiers for Stephanie K Pridemore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922269307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | PA602 (Kentucky) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA602 (Kentucky) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA602 (Kentucky) | Secondary |
| 363A00000X | Physician Assistant | PA602 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Baptist Health Medical Group Inc | 5597867184 | 1934 |
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. Stephanie K Pridemore 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 |
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Stephanie K Pridemore, PA
1618 Harrodsburg Rd,
Lexington, KY 40504-3706
Ph: (859) 288-5004 | Stephanie K Pridemore, PA
740 S Limestone Ste C300,
Lexington, KY 40536-3706
Ph: (859) 257-5405 |
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