Paul Christian Stiverson, PA-C - Medicare Physician Assistant in Lafayette, IN

Paul Christian Stiverson, PA-C is a medicare enrolled "Physician Assistant" in Lafayette, Indiana. His current practice location is 1701 S Creasy Ln, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 502-4000.

Paul Christian Stiverson is licensed to practice in Indiana (license number 10004156A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174306757.

Contact Information

Paul Christian Stiverson, PA-C
1701 S Creasy Ln,
Lafayette, IN 47905-4972
(765) 502-4000
Not Available



Provider's Profile

Full NamePaul Christian Stiverson
GenderMale
SpecialityPhysician Assistant
Location1701 S Creasy Ln, Lafayette, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174306757
  • Provider Enumeration Date: 08/16/2023
  • Last Update Date: 10/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729434683
  • Enrollment ID: I20231028000118

Medical Identifiers

Medical identifiers for Paul Christian Stiverson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174306757NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10004156A (Indiana)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. Paul Christian Stiverson 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
Paul Christian Stiverson, PA-C
710 Veterans Memorial Pkwy W Apt 13,
Lafayette, IN 47909-6960

Ph: (765) 412-7371
Paul Christian Stiverson, PA-C
1701 S Creasy Ln,
Lafayette, IN 47905-4972

Ph: (765) 502-4000

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› Verified 2 days ago


Physician Assistant Nurses in Lafayette, IN

Amber Seaman,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905
Phone: 765-502-4000    
Rachael Guerin, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905
Phone: 815-575-4585    
Amy Elizabeth Spear, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905
Phone: 765-448-8100    Fax: 765-446-7088
Olivia C Roberts, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905
Phone: 765-448-8000    
Amelia B Dale, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2600 Ferry St, Lafayette, IN 47904
Phone: 765-448-8000    
Richard N. Jones, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Ferry St, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-8858
Rachel Miller, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1345 Unity Pl Ste 210, Lafayette, IN 47905
Phone: 765-446-5432    

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