Stephanie Locicero, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Portland, Oregon. Her current practice location is
3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 494-6594.
Stephanie Locicero is licensed to practice in Oregon (license number PA213429) 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 1659937456.
Physician's Profile
Full Name | Stephanie Locicero |
---|
Gender | Female |
---|
Speciality | Physician Assistant - Medical |
---|
Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659937456
- Provider Enumeration Date: 05/16/2019
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840623104
- Enrollment ID: I20191127002414
Medical Identifiers
Medical identifiers for Stephanie Locicero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659937456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 23973 (New York) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363AM0700X | Physician Assistant - Medical | PA213429 (Oregon) | 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. Stephanie Locicero 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 |
Stephanie Locicero, PA-C 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: (866) 617-6855 | Stephanie Locicero, PA-C 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-6594 |
Reviews and Comments