Stacey L Shadix, PA-C - Physician Assistant in Crestview Hills, KY

Stacey L Shadix, PA-C is a Physician Assistant based in Crestview Hills, Kentucky. Stacey L Shadix is licensed to practice in Kentucky (license number PA1136) and her current practice location is 2865 Chancellor Dr, Suite 225, Crestview Hills, Kentucky. She can be reached at her office (for appointments etc.) via phone at (859) 341-5400.

NPI number for Stacey L Shadix is 1316015910 and her current mailing address is 2865 Chancellor Dr, Suite 225, Crestview Hills, Kentucky. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316015910.

Contact Information

Stacey L Shadix, PA-C
2865 Chancellor Dr, Suite 225,
Crestview Hills, KY 41017-3912
(859) 341-5400
(859) 578-3172



Provider's Profile

Full NameStacey L Shadix
GenderFemale
SpecialityPhysician Assistant
Location2865 Chancellor Dr, Crestview Hills, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316015910
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 10/16/2008

Medical Identifiers

Medical identifiers for Stacey L Shadix such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316015910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50-00-2367 (Ohio)Secondary
363A00000XPhysician Assistant PA1136 (Kentucky)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 L Shadix is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacey L Shadix, PA-C
2865 Chancellor Dr, Suite 225,
Crestview Hills, KY 41017-3912

Ph: (859) 341-5400
Stacey L Shadix, PA-C
2865 Chancellor Dr, Suite 225,
Crestview Hills, KY 41017-3912

Ph: (859) 341-5400

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› Verified 9 days ago


Physician Assistant Nurses in Crestview Hills, KY

Gary James Hackett, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2845 Chancellor Dr, Crestview Hills, KY 41017
Phone: 859-426-4200    Fax: 859-426-4206
Ms. Colleen Marie Kennedy, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 425 Centre View Blvd, Crestview Hills, KY 41017
Phone: 859-341-3575    Fax: 859-341-5702
Andrea C Green, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 350 Thomas More Pkwy, Ste 280, Crestview Hills, KY 41017
Phone: 859-426-0800    Fax: 859-426-4140
Rachell L Brooks, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017
Phone: 859-341-5400    Fax: 859-578-4594
Mrs. Emily Nichole Bray, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2494 Legends Way, Crestview Hills, KY 41017
Phone: 859-750-0443    
Mrs. Jessica Marie Gardner, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 425 Centre View Blvd, Crestview Hills, KY 41017
Phone: 859-341-3575    Fax: 859-341-5701

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