Staci Kephart, PA in Coalport, PA - Medicare Physician Assistant

Staci Kephart, PA is a medicare enrolled "Physician Assistant" in Coalport, Pennsylvania. Her current practice location is 850 Main Street, Coalport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 672-5141.

Staci Kephart is licensed to practice in Pennsylvania (license number MA055616) 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 1619225828.

Contact Information

	Staci Kephart, PA
	850 Main Street, Coalport, PA 16627
	(814) 672-5141
	(814) 672-5461

Map and Direction

Provider's Profile

Full Name	Staci Kephart
Gender	Female
Speciality	Physician Assistant
Location	850 Main Street, Coalport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619225828
Provider Enumeration Date: 08/20/2012
Last Update Date: 09/01/2016

Medicare PECOS Information:

PECOS PAC ID: 7416107305
Enrollment ID: I20121031000253

Medical Identifiers

Medical identifiers for Staci Kephart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619225828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	MA055616 (Pennsylvania)	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. Staci Kephart 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
Staci Kephart, PA 850 Main Street, Po Box 375, Coalport, PA 16627 Ph: (814) 672-5141	Staci Kephart, PA 850 Main Street, Coalport, PA 16627 Ph: (814) 672-5141

Reviews and Comments

Physician Assistant Nurses in Coalport, PA

Mrs. Peggy Sue Hutton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 850 Main Street, Coalport, PA 16627 Phone: 814-672-5141 Fax: 814-672-5461
Lindsey Elizabeth Link, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 850 Main Street, Coalport, PA 16627 Phone: 814-672-5141 Fax: 814-672-5461
Rachel Elizabeth Mock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 850 Main Street, Coalport, PA 16627 Phone: 814-672-5141
Jordan Emma Humes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 850 Main Street, Coalport, PA 16627 Phone: 814-672-5141 Fax: 814-672-5461

Staci Kephart, PA - Medicare Physician Assistant in Coalport, PA