Cynthia D Stover, PA-C | |
1300 South Drive, Winnebago, WI 54985-0009 | |
(920) 235-4910 | |
Not Available |
Full Name | Cynthia D Stover |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1300 South Drive, Winnebago, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366852063 | NPI | - | NPPES |
100077887 | Medicaid | WI | |
1935PA | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 2103 (South Carolina) | Secondary |
363A00000X | Physician Assistant | 4313 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Cynthia D Stover, PA-C 410 University Pkwy, Suite 2300, Aiken, SC 29801-6807 Ph: (803) 335-1219 | Cynthia D Stover, PA-C 1300 South Drive, Winnebago, WI 54985-0009 Ph: (920) 235-4910 |
Jesse Elizabeth Childs, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 | |
Mr. Jacob Strange, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 |