Stephanie Jane Oertel, PA is a
Physician Assistant based in Riverside, Connecticut. Stephanie Jane Oertel is licensed to practice in Connecticut (license number 03992) and her current practice location is
1285 E Putnam Ave, Riverside, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 637-0662.
NPI number for Stephanie Jane Oertel is 1164933750 and her current mailing address is 1285 E Putnam Ave, Riverside, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164933750.
Provider's Profile
| Full Name | Stephanie Jane Oertel |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 1285 E Putnam Ave, Riverside, Connecticut |
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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: 1164933750
- Provider Enumeration Date: 10/23/2017
- Last Update Date: 05/09/2019
Medical Identifiers
Medical identifiers for Stephanie Jane Oertel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164933750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 03992 (Connecticut) | Primary |
| 363A00000X | Physician Assistant | 023090 (New York) | Secondary |
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 Jane Oertel 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 Jane Oertel, PA
1285 E Putnam Ave,
Riverside, CT 06878-1528
Ph: (203) 637-0662 | Stephanie Jane Oertel, PA
1285 E Putnam Ave,
Riverside, CT 06878
Ph: (203) 637-0662 |
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