Samantha Stadts, PA-C in Carbondale, IL - Medicare Physician Assistant

Samantha Stadts, PA-C is a medicare enrolled "Physician Assistant" in Carbondale, Illinois. Her current practice location is 404 S Lewis Ln, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 519-9200.

Samantha Stadts is licensed to practice in Illinois (license number 085009226) 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 1245953967.

Contact Information

	Samantha Stadts, PA-C
	404 S Lewis Ln, Carbondale, IL 62901-3547
	(618) 519-9200
	(618) 549-1288

Map and Direction

Provider's Profile

Full Name	Samantha Stadts
Gender	Female
Speciality	Physician Assistant
Location	404 S Lewis Ln, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245953967
Provider Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022

Medicare PECOS Information:

PECOS PAC ID: 4981080363
Enrollment ID: I20221010000112

Medical Identifiers

Medical identifiers for Samantha Stadts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245953967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	085009226 (Illinois)	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. Samantha Stadts 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
Samantha Stadts, PA-C 109 California St, Po Box 577, Carterville, IL 62918-0577 Ph: (618) 519-9200	Samantha Stadts, PA-C 404 S Lewis Ln, Carbondale, IL 62901-3547 Ph: (618) 519-9200

Reviews and Comments

Physician Assistant Nurses in Carbondale, IL

Mr. Lukas Ward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0479
Ms. Britney Nicole Arnold, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469
Joeli Diemer, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621
Ms. Nicole A Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Mr. Michael Leroy Matteson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 105, Carbondale, IL 62901 Phone: 618-536-2565 Fax: 618-536-2835
John Howard Davidson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469
Kilmeny Clark, Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-453-8850

Samantha Stadts, PA-C - Medicare Physician Assistant in Carbondale, IL