Kimberly Christine Stanford, is a medicare enrolled "Physician Assistant" in Great Meadows, New Jersey. Her current practice location is
47 Lake Just It Rd, Great Meadows, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 914-6849.
Kimberly Christine Stanford is licensed to practice in * (Not Available) (license number ) 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 1508348459.
Provider's Profile
| Full Name | Kimberly Christine Stanford |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 47 Lake Just It Rd, Great Meadows, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508348459
- Provider Enumeration Date: 09/06/2018
- Last Update Date: 09/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 1254675838
- Enrollment ID: I20200219001903
Medical Identifiers
Medical identifiers for Kimberly Christine Stanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508348459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (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. Kimberly Christine Stanford 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 |
|---|
Kimberly Christine Stanford,
47 Lake Just It Rd,
Great Meadows, NJ 07838-2418
Ph: (908) 914-6849 | Kimberly Christine Stanford,
47 Lake Just It Rd,
Great Meadows, NJ 07838-2418
Ph: (908) 914-6849 |
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