Stefanie Meyer Reisch, PA-C is a medicare enrolled "Urology" in Fort Worth, Texas. Her current practice location is
4809 Brentwood Stair Rd, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 731-0316.
Stefanie Meyer Reisch is licensed to practice in Texas (license number PA12527) 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 1740750397.
Provider's Profile
| Full Name | Stefanie Meyer Reisch |
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| Gender | Female |
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| Speciality | Urology |
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| Location | 4809 Brentwood Stair Rd, Fort Worth, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740750397
- Provider Enumeration Date: 11/27/2018
- Last Update Date: 05/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 1658782883
- Enrollment ID: I20201119001593
Medical Identifiers
Medical identifiers for Stefanie Meyer Reisch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740750397 | NPI | - | NPPES |
| 1114114279 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 208800000X | Urology | PA12527 (Texas) | 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. Stefanie Meyer Reisch 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 |
|---|
Stefanie Meyer Reisch, PA-C
4809 Brentwood Stair Rd,
Fort Worth, TX 76103-1737
Ph: (817) 731-0316 | Stefanie Meyer Reisch, PA-C
4809 Brentwood Stair Rd,
Fort Worth, TX 76103-1737
Ph: (817) 731-0316 |
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