Stacey Lynn Prantera, PA-C in Detroit, MI - Medicare Physician Assistant

Stacey Lynn Prantera, PA-C is a medicare enrolled "Physician Assistant" in Detroit, Michigan. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Henry Ford Medical Group and her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 916-0841.

Stacey Lynn Prantera is licensed to practice in Michigan (license number 5601004380) 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 1063592046.

Contact Information

	Stacey Lynn Prantera, PA-C
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 916-0841
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey Lynn Prantera
Gender	Female
Speciality	Physician Assistant
Experience	20 Years
Location	2799 W Grand Blvd, Detroit, Michigan
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:

Stacey Lynn Prantera graduated from nursing school in 2004

NPI Data:

NPI Number: 1063592046
Provider Enumeration Date: 10/16/2006
Last Update Date: 10/09/2023

Medicare PECOS Information:

PECOS PAC ID: 7517922339
Enrollment ID: I20041122000308

Medical Identifiers

Medical identifiers for Stacey Lynn Prantera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063592046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601004380 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124

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. Stacey Lynn Prantera 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
Stacey Lynn Prantera, PA-C 2799 W Grand Blvd # K-17, Detroit, MI 48202-2608 Ph: (313) 916-2436	Stacey Lynn Prantera, PA-C 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-0841

Reviews and Comments

Physician Assistant Nurses in Detroit, MI

Ms. Lilia Popadiuk, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-993-0200
Mrs. Rachelle Noel Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
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Mrs. Emily M Ioco, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-0841

Stacey Lynn Prantera, PA-C - Medicare Physician Assistant in Detroit, MI