Jennifer Sticken, PA is a medicare enrolled "Physician Assistant" in Raymore, Missouri. Her current practice location is
1010 Remington Plz, Raymore, Missouri. You can reach out to her office (for appointments etc.) via phone at
(888) 403-1071.
Jennifer Sticken is licensed to practice in Missouri (license number 2017010108) 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 1356685556.
Provider's Profile
Full Name | Jennifer Sticken |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1010 Remington Plz, Raymore, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356685556
- Provider Enumeration Date: 11/12/2012
- Last Update Date: 01/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527213826
- Enrollment ID: I20170405001569
Medical Identifiers
Medical identifiers for Jennifer Sticken such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356685556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2017010108 (Missouri) | 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. Jennifer Sticken 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 |
Jennifer Sticken, PA 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131 | Jennifer Sticken, PA 1010 Remington Plz, Raymore, MO 64083 Ph: (888) 403-1071 |
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