Alice V Stanley, PA-C in South Charleston, WV - Medicare Physician Assistant

Alice V Stanley, PA-C is a medicare enrolled "Physician Assistant - Surgical" in South Charleston, West Virginia. Her current practice location is 4605 Maccorkle Ave Sw, South Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 414-4800.

Alice V Stanley is licensed to practice in West Virginia (license number 0119) 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 1184014128.

Contact Information

	Alice V Stanley, PA-C
	4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311
	(304) 414-4800
	(304) 414-4801

Provider's Profile

Full Name	Alice V Stanley
Gender	Female
Speciality	Physician Assistant - Surgical
Location	4605 Maccorkle Ave Sw, South Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184014128
Provider Enumeration Date: 01/29/2015
Last Update Date: 11/10/2022

Medicare PECOS Information:

PECOS PAC ID: 3870961790
Enrollment ID: I20221128001934

Medical Identifiers

Medical identifiers for Alice V Stanley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184014128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0119 (West Virginia)	Secondary
363AM0700X	Physician Assistant - Medical	0119 (West Virginia)	Secondary
363AS0400X	Physician Assistant - Surgical	0119 (West 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. Alice V Stanley 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
Alice V Stanley, PA-C 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 414-4800	Alice V Stanley, PA-C 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 414-4800

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Physician Assistant Nurses in South Charleston, WV

Dustin Crites, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3601 Fax: 304-766-3477
Mr. Geno Anthony Santangelo Jr., P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-389-7914
Gregory Porter, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 Chestnut St, South Charleston, WV 25309 Phone: 304-768-8500 Fax: 304-768-8530
Mrs. Lori Jane Rainey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Division St Ste 306, South Charleston, WV 25309 Phone: 304-766-4300
Aris L Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-521-3612
Natalie R Beeson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 Division St Ste 306, South Charleston, WV 25309 Phone: 304-766-4300 Fax: 304-766-5474
Erik James Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 Division St, South Charleston, WV 25309 Phone: 304-767-7840 Fax: 304-767-7849

Alice V Stanley, PA-C - Medicare Physician Assistant in South Charleston, WV