Stacia D Petrancosta, PA-C in Falls Church, VA - Medicare Physician Assistant

Stacia D Petrancosta, PA-C is a medicare enrolled "Physician Assistant - Medical" in Falls Church, Virginia. Her current practice location is 500 W Annandale Rd, Falls Church, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 521-6662.

Stacia D Petrancosta is licensed to practice in * (Not Available) (license number ) 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 1063735959.

Contact Information

	Stacia D Petrancosta, PA-C
	500 W Annandale Rd, Falls Church, VA 22046
	(703) 521-6662
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacia D Petrancosta
Gender	Female
Speciality	Physician Assistant - Medical
Location	500 W Annandale Rd, Falls Church, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063735959
Provider Enumeration Date: 03/05/2010
Last Update Date: 08/22/2018

Medicare PECOS Information:

PECOS PAC ID: 7618005554
Enrollment ID: I20160812000597

Medical Identifiers

Medical identifiers for Stacia D Petrancosta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063735959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	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. Stacia D Petrancosta 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
Stacia D Petrancosta, PA-C 9555 Pine Cluster Cir, Vienna, VA 22181-5440 Ph: (910) 578-7053	Stacia D Petrancosta, PA-C 500 W Annandale Rd, Falls Church, VA 22046 Ph: (703) 521-6662

Reviews and Comments

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Stacia D Petrancosta, PA-C - Medicare Physician Assistant in Falls Church, VA