Stephanie K Fennema, PA-C in Martinez, GA - Medicare Physician Assistant

Stephanie K Fennema, PA-C is a medicare enrolled "Physician Assistant" in Martinez, Georgia. Her current practice location is 4106 Columbia Road, Suite 103, Martinez, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 863-1440.

Stephanie K Fennema is licensed to practice in Georgia (license number 005416) 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 1194751792.

Contact Information

	Stephanie K Fennema, PA-C
	4106 Columbia Road, Suite 103, Martinez, GA 30907
	(706) 863-1440
	(706) 863-5418

Map and Direction

Provider's Profile

Full Name	Stephanie K Fennema
Gender	Female
Speciality	Physician Assistant
Location	4106 Columbia Road, Martinez, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194751792
Provider Enumeration Date: 06/24/2006
Last Update Date: 07/26/2010

Medicare PECOS Information:

PECOS PAC ID: 8729001755
Enrollment ID: I20150113000708

Medical Identifiers

Medical identifiers for Stephanie K Fennema such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194751792	NPI	-	NPPES
292261400	Medicaid	FL
U6631	Other	FL	BCBS FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PAT 9103434 (Florida)	Secondary
363A00000X	Physician Assistant	005416 (Georgia)	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 K Fennema 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
Stephanie K Fennema, PA-C 4106 Columbia Road, Suite 103, Martinez, GA 30907 Ph: (706) 863-1440	Stephanie K Fennema, PA-C 4106 Columbia Road, Suite 103, Martinez, GA 30907 Ph: (706) 863-1440

Reviews and Comments

Physician Assistant Nurses in Martinez, GA

Mrs. Kimberly Nicole Edwards Mclean, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 516 Rocky Ridge Dr, Martinez, GA 30907 Phone: 912-381-6643
Stephanie Michelle Zimmerman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 575 Furys Ferry Rd, Martinez, GA 30907 Phone: 706-691-7079 Fax: 706-364-0416
Alexandra Jordan Andrade, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4437 Whisperwood Dr, Martinez, GA 30907 Phone: 706-836-3521
Erica Brown, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 229 S Belair Rd, Martinez, GA 30907 Phone: 706-760-7607
Caitlyn Russell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 575 Furys Ferry Rd, Martinez, GA 30907 Phone: 706-691-7079 Fax: 706-364-0416
Elizabeth Forbes, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4485 Columbia Rd, Martinez, GA 30907 Phone: 706-855-1520 Fax: 706-855-0433

Stephanie K Fennema, PA-C - Medicare Physician Assistant in Martinez, GA