Staci Ernandez Polk, PA-C - Medicare Physician Assistant in Lancaster, SC

Staci Ernandez Polk, PA-C is a medicare enrolled "Physician Assistant" in Lancaster, South Carolina. Her current practice location is 834 W Meeting St Ste E, Lancaster, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 285-5900.

Staci Ernandez Polk is licensed to practice in South Carolina (license number 3508) 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 1245861236.

Contact Information

Staci Ernandez Polk, PA-C
834 W Meeting St Ste E,
Lancaster, SC 29720-6220
(803) 285-5900
Not Available



Provider's Profile

Full NameStaci Ernandez Polk
GenderFemale
SpecialityPhysician Assistant
Location834 W Meeting St Ste E, Lancaster, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245861236
  • Provider Enumeration Date: 01/29/2020
  • Last Update Date: 01/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365812286
  • Enrollment ID: I20230110000731

Medical Identifiers

Medical identifiers for Staci Ernandez Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245861236NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3508 (South Carolina)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. Staci Ernandez Polk 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
Staci Ernandez Polk, PA-C
Po Box 23467,
New York, NY 10087-3467

Ph: (843) 792-6200
Staci Ernandez Polk, PA-C
834 W Meeting St Ste E,
Lancaster, SC 29720-6220

Ph: (803) 285-5900

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› Verified 9 days ago


Physician Assistant Nurses in Lancaster, SC

Ian Michael Carrese, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 W Meeting St, Lancaster, SC 29720
Phone: 843-792-1414    
Christin Lee Van Hoy, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 838 W Meeting St Ste H, Lancaster, SC 29720
Phone: 227-380-3285    
Duke Kimzey, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 W Meeting St, Lancaster, SC 29720
Phone: 803-286-1214    Fax: 803-286-1369
Christopher Van Nguyen, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 800 W Meeting St, Lancaster, SC 29720
Phone: 803-286-1214    
Rachel Virginia Lang, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 800 N White St, Lancaster, SC 29720
Phone: 803-285-2273    
Brittany Leigh Smith, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 800 W Meeting St, Lancaster, SC 29720
Phone: 803-286-1214    

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