Stacy Danielson, PA - Medicare Physician Assistant in Rapid City, SD

Stacy Danielson, PA is a medicare enrolled "Physician Assistant" in Rapid City, South Dakota. Her current practice location is 1818 W Fulton St Ste 102, Rapid City, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 787-1040.

Stacy Danielson is licensed to practice in South Dakota (license number 0996) 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 1114395597.

Contact Information

Stacy Danielson, PA
1818 W Fulton St Ste 102,
Rapid City, SD 57702-4347
(605) 787-1040
Not Available



Provider's Profile

Full NameStacy Danielson
GenderFemale
SpecialityPhysician Assistant
Location1818 W Fulton St Ste 102, Rapid City, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114395597
  • Provider Enumeration Date: 09/02/2015
  • Last Update Date: 09/02/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6103136296
  • Enrollment ID: I20151102000882

Medical Identifiers

Medical identifiers for Stacy Danielson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114395597NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0996 (South Dakota)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. Stacy Danielson 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
Stacy Danielson, PA
Po Box 2257,
Chesterton, IN 46304-0357

Ph: (219) 926-8320
Stacy Danielson, PA
1818 W Fulton St Ste 102,
Rapid City, SD 57702-4347

Ph: (605) 787-1040

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Physician Assistant Nurses in Rapid City, SD

Samantha Sommer, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2805 5th St, Rapid City, SD 57701
Phone: 605-755-5700    
Mrs. Karen Kay Zepp, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 717 Meade St, Suite 100, Rapid City, SD 57701
Phone: 605-341-5910    Fax: 605-341-9052
Mr. Robert Vandeventer, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 408 Knollwood Drive, Rapid City, SD 57701
Phone: 605-755-2273    
Michelle L Wasson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 640 Flormann St, Rapid City, SD 57701
Phone: 605-718-3300    Fax: 605-718-3426
Angela M Okroi, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 28 Medical Group, 2900 Doolittle Dr Ellsworth Afb Sd, Rapid City, SD 57702
Phone: 605-385-3147    
Heather Noelle Rice, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7220 S Highway 16, Rapid City, SD 57702
Phone: 605-341-1414    Fax: 605-341-7062
Jarrett James Fowler, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701
Phone: 605-755-1000    

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