Stephanie Medina, ATC is a
Specialist/technologist - Athletic Trainer physician based in West Lafayette, Indiana. Stephanie Medina is licensed to practice in * (Not Available) (license number ) and her current practice location is 900 N John R Wooden Dr, West Lafayette, Indiana. She can be reached at her office (for appointments etc.) via phone at
(931) 237-1404.
NPI number for Stephanie Medina is 1760869358 and her current mailing address is 4421 Crossbow Ct, West Lafayette, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760869358.
Physician's Profile
Full Name | Stephanie Medina |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 900 N John R Wooden Dr, West Lafayette, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760869358
- Provider Enumeration Date: 05/03/2015
- Last Update Date: 07/09/2024
Medical Identifiers
Medical identifiers for Stephanie Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760869358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PS0010X | Emergency Medicine - Sports Medicine | 287005 (Tennessee) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | 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 Medina 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 |
Stephanie Medina, ATC 4421 Crossbow Ct, West Lafayette, IN 47906-7117 Ph: (931) 237-1404 | Stephanie Medina, ATC 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 Ph: (931) 237-1404 |
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