Stephanie R Smullen, PA-C in Green Bay, WI - Medicare Physician Assistant

Stephanie R Smullen, PA-C is a medicare enrolled "Physician Assistant" in Green Bay, Wisconsin. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis and her current practice location is 2845 Greenbrier Rd Ste 240, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 288-8280.

Stephanie R Smullen is licensed to practice in Wisconsin (license number 2242) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316117500.

Contact Information

	Stephanie R Smullen, PA-C
	2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519
	(920) 288-8280
	(920) 288-8285

Map and Direction

Provider's Profile

Full Name	Stephanie R Smullen
Gender	Female
Speciality	Physician Assistant
Experience	17 Years
Location	2845 Greenbrier Rd Ste 240, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie R Smullen graduated from nursing school in 2007

NPI Data:

NPI Number: 1316117500
Provider Enumeration Date: 03/04/2008
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 6002995859
Enrollment ID: I20080505000453

Medical Identifiers

Medical identifiers for Stephanie R Smullen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316117500	NPI	-	NPPES
1316117500	Medicaid	MI
1316117500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2242 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Vincent Hospital	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis	5799694675	546

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 R Smullen 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 R Smullen, PA-C 2845 Greenbrier Rd Ste 240, Po Box 8900, Green Bay, WI 54308-8900 Ph: (920) 288-8280	Stephanie R Smullen, PA-C 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 Ph: (920) 288-8280

Reviews and Comments

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Stephanie R Smullen, PA-C - Medicare Physician Assistant in Green Bay, WI