Jermaine J Stubblefield, PA is a medicare enrolled "Family Medicine" in Roseville, California. His current practice location is
2 Medical Plaza, Suite 130, Roseville, California. You can reach out to his office (for appointments etc.) via phone at
(916) 797-4725.
Jermaine J Stubblefield is licensed to practice in California (license number PA20823) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356667539.
Provider's Profile
Full Name | Jermaine J Stubblefield |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 2 Medical Plaza, Roseville, California |
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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: 1356667539
- Provider Enumeration Date: 04/13/2010
- Last Update Date: 02/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 2264611102
- Enrollment ID: I20110125000810
Medical Identifiers
Medical identifiers for Jermaine J Stubblefield such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356667539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA20823 (California) | Secondary |
207Q00000X | Family Medicine | PA20823 (California) | 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. Jermaine J Stubblefield 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 |
Jermaine J Stubblefield, PA 2 Medical Plaza, Suite 130, Roseville, CA 95661-3038 Ph: (916) 797-4725 | Jermaine J Stubblefield, PA 2 Medical Plaza, Suite 130, Roseville, CA 95661-3038 Ph: (916) 797-4725 |
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