Ms Stacy Nicole Ross, PA-C - Medicare Physician Assistant in Fresno, CA

Ms Stacy Nicole Ross, PA-C is a medicare enrolled "Physician Assistant" in Fresno, California. Her current practice location is 1630 E Herndon Ave, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 256-5200.

Ms Stacy Nicole Ross is licensed to practice in California (license number PA 19958) 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 1174773808.

Contact Information

Ms Stacy Nicole Ross, PA-C
1630 E Herndon Ave,
Fresno, CA 93720-3305
(559) 256-5200
Not Available

Map and Direction




Provider's Profile

Full NameMs Stacy Nicole Ross
GenderFemale
SpecialityPhysician Assistant
Location1630 E Herndon Ave, Fresno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174773808
  • Provider Enumeration Date: 09/30/2008
  • Last Update Date: 03/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2668520776
  • Enrollment ID: I20090429000451

Medical Identifiers

Medical identifiers for Ms Stacy Nicole Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174773808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA 19958 (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. Ms Stacy Nicole Ross 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 AddressPractice Location Address
Ms Stacy Nicole Ross, PA-C
1630 E Herndon Ave,
Fresno, CA 93720-3305

Ph: (559) 256-5200
Ms Stacy Nicole Ross, PA-C
1630 E Herndon Ave,
Fresno, CA 93720-3305

Ph: (559) 256-5200

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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