Bethany Lynn Stack, PA - Medicare Physician Assistant in Rutland, VT

Bethany Lynn Stack, PA is a medicare enrolled "Physician Assistant - Medical" in Rutland, Vermont. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Rutland Hospital Inc and her current practice location is 3 Albert Cree Dr, Rutland, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 775-2937.

Bethany Lynn Stack is licensed to practice in Vermont (license number 055-0030670) 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 1184619876.

Contact Information

Bethany Lynn Stack, PA
3 Albert Cree Dr,
Rutland, VT 05701-4601
(802) 775-2937
(802) 773-0934



Provider's Profile

Full NameBethany Lynn Stack
GenderFemale
SpecialityPhysician Assistant
Experience21 Years
Location3 Albert Cree Dr, Rutland, Vermont
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bethany Lynn Stack graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1184619876
  • Provider Enumeration Date: 09/19/2005
  • Last Update Date: 03/03/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9436129277
  • Enrollment ID: I20040728001404

Medical Identifiers

Medical identifiers for Bethany Lynn Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184619876NPI-NPPES
00059907OtherVTBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 055-0030670 (Vermont)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rutland Regional Medical CenterRutland, VTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rutland Hospital Inc7214846377157

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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. Bethany Lynn Stack 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 AddressPractice Location Address
Bethany Lynn Stack, PA
3 Albert Cree Dr,
Rutland, VT 05701-4601

Ph: (802) 775-2937
Bethany Lynn Stack, PA
3 Albert Cree Dr,
Rutland, VT 05701-4601

Ph: (802) 775-2937

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Physician Assistant Nurses in Rutland, VT

Ms. Abigail Rose Brown, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 173 S Main St, Rutland, VT 05701
Phone: 802-772-4165    Fax: 802-855-8489
Amy P Corey, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 215 Stratton Rd, Rutland, VT 05701
Phone: 802-773-3386    Fax: 802-773-4578
Karie Shelton, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 10 Commons St, Rutland, VT 05701
Phone: 802-747-3359    Fax: 802-786-5204
Chris S Masillo, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 215 Stratton Rd, Rutland, VT 05701
Phone: 802-773-3386    Fax: 802-773-4578
James Bentley Hollinshead, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3 Albert Cree Dr, Rutland, VT 05701
Phone: 802-775-2937    Fax: 802-773-0934
Jeremy Orr, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 160 Allen St, Rutland, VT 05701
Phone: 802-775-7111    Fax: 802-747-6260
Leonard Delorenzo Iii, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 160 Allen St, Rutland, VT 05701
Phone: 802-747-1831    Fax: 802-747-1826

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