Kassie Stafford, PA is a medicare enrolled "Physician Assistant" in Pass Christian, Mississippi. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Dermatology Clinic, Pllc and her current practice location is
116 Menge Ave Apt A, Pass Christian, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(228) 586-9565.
Kassie Stafford is licensed to practice in Mississippi (license number PA00128) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245567775.
Provider's Profile
| Full Name | Kassie Stafford |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 15 Years |
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| Location | 116 Menge Ave Apt A, Pass Christian, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kassie Stafford graduated from nursing school in 2009
NPI Data:
- NPI Number: 1245567775
- Provider Enumeration Date: 11/04/2009
- Last Update Date: 10/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991833675
- Enrollment ID: I20100518000215
Medical Identifiers
Medical identifiers for Kassie Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245567775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA.200296 (Louisiana) | Secondary |
| 363A00000X | Physician Assistant | PA00128 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Dermatology Clinic, Pllc | 8123129673 | 6 |
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. Kassie Stafford 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 |
|---|
Kassie Stafford, PA
11295 E. Taylor Road,
Gulfport, MS 39503-4197
Ph: (228) 864-3300 | Kassie Stafford, PA
116 Menge Ave Apt A,
Pass Christian, MS 39571-4738
Ph: (228) 586-9565 |
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