Stephanie Anne Manceor, PA-C is a
Physician Assistant based in Sunset, South Carolina. Stephanie Anne Manceor is licensed to practice in Tennessee (license number 4137) and her current practice location is
244 Saranac Dr, Sunset, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(713) 419-6547.
NPI number for Stephanie Anne Manceor is 1821618604 and her current mailing address is 244 Saranac Dr, Sunset, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821618604.
Provider's Profile
| Full Name | Stephanie Anne Manceor |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 244 Saranac Dr, Sunset, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821618604
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 04/21/2020
Medical Identifiers
Medical identifiers for Stephanie Anne Manceor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821618604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 4137 (Tennessee) | 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. Stephanie Anne Manceor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephanie Anne Manceor, PA-C
244 Saranac Dr,
Sunset, SC 29685-1619
Ph: (713) 419-6547 | Stephanie Anne Manceor, PA-C
244 Saranac Dr,
Sunset, SC 29685-1619
Ph: (713) 419-6547 |
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