Mary Rebecca Stoll, PA is a medicare enrolled "Physician Assistant" in Williamsburg, Michigan. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Advanced Dermatology Of Michigan Pc and her current practice location is
3950 Shore Dr, Williamsburg, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 938-7004.
Mary Rebecca Stoll is licensed to practice in Michigan (license number L1397712) 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 1083862098.
Provider's Profile
Full Name | Mary Rebecca Stoll |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 16 Years |
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Location | 3950 Shore Dr, Williamsburg, Michigan |
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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. |
Medical Education and Training:
- Mary Rebecca Stoll graduated from nursing school in 2008
NPI Data:
- NPI Number: 1083862098
- Provider Enumeration Date: 09/03/2008
- Last Update Date: 11/08/2011
Medicare PECOS Information:
- PECOS PAC ID: 6800957937
- Enrollment ID: I20081209000151
Medical Identifiers
Medical identifiers for Mary Rebecca Stoll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083862098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | L1397712 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Advanced Dermatology Of Michigan Pc | 0941511224 | 34 |
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. Mary Rebecca Stoll 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 |
Mary Rebecca Stoll, PA 3950 Shore Dr, Williamsburg, MI 49690-9548 Ph: (231) 938-7004 | Mary Rebecca Stoll, PA 3950 Shore Dr, Williamsburg, MI 49690-9548 Ph: (231) 938-7004 |
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