Mrs Staci Lyn Ward, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Mora, Missouri. Her current practice location is
1925 Butterfield Trl, Mora, Missouri. You can reach out to her office (for appointments etc.) via phone at
(817) 564-4495.
Mrs Staci Lyn Ward is licensed to practice in Texas (license number PA04077) 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 1730123621.
Provider's Profile
Full Name | Mrs Staci Lyn Ward |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 1925 Butterfield Trl, Mora, 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: 1730123621
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 09/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 3779552930
- Enrollment ID: I20180730002713
Medical Identifiers
Medical identifiers for Mrs Staci Lyn Ward such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730123621 | NPI | - | NPPES |
1164467692 | Other | TX | MEDICARE GROUP NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | PA04077 (Texas) | 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. Mrs Staci Lyn Ward 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 |
Mrs Staci Lyn Ward, PA-C 1925 Butterfield Trl, Mora, MO 65345-2814 Ph: (817) 564-4495 | Mrs Staci Lyn Ward, PA-C 1925 Butterfield Trl, Mora, MO 65345-2814 Ph: (817) 564-4495 |
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