Samantha Stadts, PA-C - Medicare Physician Assistant in Carbondale, IL

Samantha Stadts, PA-C is a medicare enrolled "Physician Assistant" in Carbondale, Illinois. Her current practice location is 404 S Lewis Ln, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 519-9200.

Samantha Stadts is licensed to practice in Illinois (license number 085009226) 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 1245953967.

Contact Information

Samantha Stadts, PA-C
404 S Lewis Ln,
Carbondale, IL 62901-3547
(618) 519-9200
(618) 549-1288



Provider's Profile

Full NameSamantha Stadts
GenderFemale
SpecialityPhysician Assistant
Location404 S Lewis Ln, Carbondale, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245953967
  • Provider Enumeration Date: 09/20/2022
  • Last Update Date: 09/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981080363
  • Enrollment ID: I20221010000112

Medical Identifiers

Medical identifiers for Samantha Stadts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245953967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085009226 (Illinois)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. Samantha Stadts 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
Samantha Stadts, PA-C
109 California St, Po Box 577,
Carterville, IL 62918-0577

Ph: (618) 519-9200
Samantha Stadts, PA-C
404 S Lewis Ln,
Carbondale, IL 62901-3547

Ph: (618) 519-9200

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Physician Assistant Nurses in Carbondale, IL

Mr. Lukas Ward, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-529-0479
Ms. Britney Nicole Arnold, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-457-0469
Joeli Diemer, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 300 W Oak St, Carbondale, IL 62901
Phone: 618-536-6621    
Ms. Nicole A Johnson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    
Mr. Michael Leroy Matteson, PA C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 305 W Jackson St, Suite 105, Carbondale, IL 62901
Phone: 618-536-2565    Fax: 618-536-2835
John Howard Davidson, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-457-0469
Kilmeny Clark,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 300 W Oak St, Carbondale, IL 62901
Phone: 618-453-8850    

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