Stacy Blake Edgar, PA-C - Medicare Physician Assistant in Marietta, OH

Stacy Blake Edgar, PA-C is a medicare enrolled "Physician Assistant" in Marietta, Ohio. Her current practice location is 800 Pike St Ste 2, Express Care Marietta, Marietta, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 373-3960.

Stacy Blake Edgar is licensed to practice in Ohio (license number 50.007774RX) 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 1396254009.

Contact Information

Stacy Blake Edgar, PA-C
800 Pike St Ste 2, Express Care Marietta,
Marietta, OH 45750-3507
(740) 373-3960
Not Available



Provider's Profile

Full NameStacy Blake Edgar
GenderFemale
SpecialityPhysician Assistant
Location800 Pike St Ste 2, Marietta, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396254009
  • Provider Enumeration Date: 09/26/2017
  • Last Update Date: 12/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4486929312
  • Enrollment ID: I20171003006572

Medical Identifiers

Medical identifiers for Stacy Blake Edgar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396254009NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3013 (South Carolina)Secondary
363A00000XPhysician Assistant 0110007485 (Virginia)Secondary
363AM0700XPhysician Assistant - Medical 10002314A (Indiana)Secondary
363A00000XPhysician Assistant 50.007774RX (Ohio)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 Blake Edgar 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 Blake Edgar, PA-C
800 Pike St Ste 2,
Marietta, OH 45750-3507

Ph: (304) 483-0515
Stacy Blake Edgar, PA-C
800 Pike St Ste 2, Express Care Marietta,
Marietta, OH 45750-3507

Ph: (740) 373-3960

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› Verified 5 days ago


Physician Assistant Nurses in Marietta, OH

Lindsey Grace Clark,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 215 5th St, Marietta, OH 45750
Phone: 800-331-7896    
Megan Noel Blackburn, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 Pike St Ste 2, Physicians Care Express - Marietta, Marietta, OH 45750
Phone: 740-373-3960    Fax: 740-373-3965
Alyse Shapaka, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 400 Matthew St, Suite 200, Marietta, OH 45750
Phone: 740-434-0565    Fax: 740-434-0563
Thomas B Barsh, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 418 Colegate Dr, Marietta, OH 45750
Phone: 740-568-0412    
Rosa Nardo, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 400 Matthew St Ste 201, Marietta, OH 45750
Phone: 740-568-4590    Fax: 740-568-4592
Kristeva Jo Knab, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 400 Matthew St, Suite 401, Marietta, OH 45750
Phone: 740-374-2252    Fax: 740-374-4974
Mrs. Jamie Renee' Myers Mccombs, P.A.-C.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 410 2nd St, Marietta, OH 45750
Phone: 740-374-3622    Fax: 740-374-4209

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