| Stacy A Forrestt, PAC | |
|
9100 W. 74th Street, Shawnee Mission, KS 66204-4004 | |
| (913) 676-2679 | |
| (913) 789-3191 |
| Full Name | Stacy A Forrestt |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 9100 W. 74th Street, Shawnee Mission, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881702298 | NPI | - | NPPES |
| 42508017 | Other | KS | BCBS KC |
| 200623680A | Medicaid | KS | |
| P00765509 | Other | KS | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA003020L (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | 1501310 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
| University Of Kansas Hospital | Kansas city, KS | Hospital |
| Adventhealth South Overland Park, Inc | Overland park, KS | Hospital |
| Kansas City Orthopaedic Institute | Leawood, KS | Hospital |
| Providence Medical Center | Kansas city, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Anesthesia Associates, Pa | 4981597838 | 89 |
| Entity Name | Midwest Anesthesia Associates, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336192392 PECOS PAC ID: 4981597838 Enrollment ID: O20040204000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy A Forrestt, PAC Po Box 411895, Kansas City, MO 64141-1895 Ph: (913) 632-2230 | Stacy A Forrestt, PAC 9100 W. 74th Street, Shawnee Mission, KS 66204-4004 Ph: (913) 676-2679 |
Lisa I Orrick, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8800 W 75th St, Ste 140, Shawnee Mission, KS 66204 Phone: 913-722-5551 Fax: 913-362-0583 |
Laura Diane Lindsey, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-676-2214 Fax: 913-789-3106 |
Elizabeth C Parks, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9119 W 74th St, Suite 150, Shawnee Mission, KS 66204 Phone: 913-362-5510 Fax: 913-362-1139 |
Melissa Young, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9100 W 74th St, Shawnee Mission, KS 66204 Phone: 913-957-8076 |
Mrs. Nicole Elizabeth Berge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7450 Kessler St Ste 203, Shawnee Mission, KS 66204 Phone: 913-676-7585 Fax: 913-676-8189 |
Heidi Louise Peck, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204 Phone: 913-677-3113 Fax: 913-677-4514 |
Shelley C Elias, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9119 W 74th St, Suite 150, Shawnee Mission, KS 66204 Phone: 913-362-5510 Fax: 913-362-1139 |