| Stacy D Medina, PA-C | |
|
1301 S Koke Mill Rd, Springfield, IL 62711-9252 | |
| (217) 547-9100 | |
| (217) 547-9236 |
| Full Name | Stacy D Medina |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1301 S Koke Mill Rd, Springfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750069126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085009740 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy D Medina, PA-C 1301 S Koke Mill Rd, Springfield, IL 62711-9252 Ph: (217) 547-9100 | Stacy D Medina, PA-C 1301 S Koke Mill Rd, Springfield, IL 62711-9252 Ph: (217) 547-9100 |
Jerry Priddy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1301 S Koke Mill Rd, Springfield, IL 62711 Phone: 217-547-9100 Fax: 217-547-9236 | |
Sydney Lynch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 Greenbriar Dr, Springfield, IL 62704 Phone: 217-528-7541 | |
Julie C Hart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 | |
Carol M. Harper, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 | |
Brittany A Muller, MMS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 | |
Mr. Eric D Wolf, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2151 W White Oaks Dr, Springfield, IL 62704 Phone: 217-717-4404 | |
Zachary Sims, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-757-8100 Fax: 217-757-8161 |