Mrs Stacy Annette Church, PA-C - Medicare Physician Assistant in Charleston, WV

Mrs Stacy Annette Church, PA-C is a medicare enrolled "Physician Assistant - Medical" in Charleston, West Virginia. Her current practice location is 3100 Maccorkle Ave Se, Suite 610, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 346-1141.

Mrs Stacy Annette Church is licensed to practice in West Virginia (license number 01163) 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 1114930658.

Contact Information

Mrs Stacy Annette Church, PA-C
3100 Maccorkle Ave Se, Suite 610,
Charleston, WV 25304-1223
(304) 346-1141
(304) 346-1142



Provider's Profile

Full NameMrs Stacy Annette Church
GenderFemale
SpecialityPhysician Assistant - Medical
Location3100 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114930658
  • Provider Enumeration Date: 08/15/2006
  • Last Update Date: 06/21/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4486745361
  • Enrollment ID: I20070807000396

Medical Identifiers

Medical identifiers for Mrs Stacy Annette Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114930658NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 01163 (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. Mrs Stacy Annette Church 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
Mrs Stacy Annette Church, PA-C
3100 Maccorkle Ave Se, Suite 610,
Charleston, WV 25304-1223

Ph: (304) 346-1141
Mrs Stacy Annette Church, PA-C
3100 Maccorkle Ave Se, Suite 610,
Charleston, WV 25304-1223

Ph: (304) 346-1141

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Physician Assistant Nurses in Charleston, WV

Mrs. Sherry Lynn Persinger, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1003 Oakhurst Dr., Charleston, WV 25314
Phone: 304-345-4525    Fax: 304-345-4527
Sandra Faye Stennett, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1532 Bridge Rd Apt A, Charleston, WV 25314
Phone: 304-541-7763    
Ms. Shaina Rachael Cain, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 333 Laidley St, Charleston, WV 25301
Phone: 304-347-6116    Fax: 304-347-6117
Mrs. Krystal Smithers, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 208 Maccorkle Ave Se, Charleston, WV 25314
Phone: 304-343-4300    Fax: 304-343-5473
Brett Paul Zavadil, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-388-5432    
Katie Preece,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3200 Maccorkle Ave Se Ste B-16, Charleston, WV 25304
Phone: 304-388-5848    Fax: 304-388-5848
Mr. Kevin S. Boyce, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Avenue Se,, Hospitalist Program, Charleston, WV 25304
Phone: 304-388-5848    Fax: 304-388-9654

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