Stacey Jo Kettlewell, PA-C - Medicare Physician Assistant in Wheeling, WV

Stacey Jo Kettlewell, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Wheeling, West Virginia. Her current practice location is 1 Medical Park, Wheeling, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 243-3000.

Stacey Jo Kettlewell is licensed to practice in West Virginia (license number 1904) 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 1164806956.

Contact Information

Stacey Jo Kettlewell, PA-C
1 Medical Park,
Wheeling, WV 26003-6379
(304) 243-3000
(304) 243-3060



Provider's Profile

Full NameStacey Jo Kettlewell
GenderFemale
SpecialityPhysician Assistant - Surgical
Location1 Medical Park, Wheeling, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164806956
  • Provider Enumeration Date: 07/12/2015
  • Last Update Date: 10/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9032411822
  • Enrollment ID: I20160111002646

Medical Identifiers

Medical identifiers for Stacey Jo Kettlewell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164806956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (West Virginia)Secondary
363AS0400XPhysician Assistant - Surgical 1904 (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. Stacey Jo Kettlewell 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
Stacey Jo Kettlewell, PA-C
1 Medical Park,
Wheeling, WV 26003-6379

Ph: (304) 243-3000
Stacey Jo Kettlewell, PA-C
1 Medical Park,
Wheeling, WV 26003-6379

Ph: (304) 243-3000

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› Verified 1 days ago


Physician Assistant Nurses in Wheeling, WV

Ms. Chelsea W Hewitt, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 76 16th Street, Wheeling, WV 26003
Phone: 304-238-0212    Fax: 304-238-0215
Ms. Tonda Marie Stauffer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Park, Suite 230, Wheeling, WV 26003
Phone: 304-242-4660    Fax: 304-242-6430
Mrs. Wendy Sue Allenby, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Park, Suite 233, Wheeling, WV 26003
Phone: 304-242-9560    Fax: 304-242-4840
Brittney J Sobota, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003
Phone: 304-243-3000    Fax: 304-243-1038
Katie Lynn Bolduc, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2101 Chapline St, Wheeling, WV 26003
Phone: 304-233-3240    Fax: 304-232-6128
Michelle R Wolfe, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003
Phone: 304-243-3124    
Mary Viola Rankin, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003
Phone: 304-243-3124    

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