Andrea Stephenson, in Fort Leonard Wood, MO - Medicare Pediatrics

Andrea Stephenson, is a medicare enrolled "Pediatrics" physician in Fort Leonard Wood, Missouri. Her current practice location is 4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to her office (for appointments etc.) via phone at (808) 735-9617.

Andrea Stephenson is licensed to practice in Virginia (license number 0102206065) 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 1013418268.

Contact Information

	Andrea Stephenson,
	4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098
	(808) 735-9617
	Not Available

Physician's Profile

Full Name	Andrea Stephenson
Gender	Female
Speciality	Pediatrics
Location	4430 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013418268
Provider Enumeration Date: 02/23/2018
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 0345616785
Enrollment ID: I20221026001317

Medical Identifiers

Medical identifiers for Andrea Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013418268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0102206065 (Virginia)	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. Andrea Stephenson 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
Andrea Stephenson, 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1765	Andrea Stephenson, 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (808) 735-9617

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Pediatrics Doctors in Fort Leonard Wood, MO

Egberto Toro, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Attn: Mcxp-ccs-cr (credentials), Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Dr. Elena A Rostapshova, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Erica Marie Grimm, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1766
Dr. Roman Oleh Bilynsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 126 Missouri Avenue, Glwach - Attn: Credentials Office, Fort Leonard Wood, MO 65473 Phone: 573-596-0415 Fax: 573-596-0524
Dr. Thomas E Ellwood, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Ms. Marie Grace Noah, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417

Andrea Stephenson, - Medicare Pediatrics in Fort Leonard Wood, MO