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Primary Practice Address
3307 RENNER DR
FORTUNA, CA 95540-3119 US
PECOS Enrolled

Stephanie Ivy Stone

Midwife


Stephanie Ivy Stone

Overview

Stephanie Ivy Stone is a Midwife in the FORTUNA area and has over 26 years of experience. Stephanie Ivy Stone primary office location is at 3307 RENNER DR and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1998 The NPI number is 1538264544 and the information was updated approximately 3 years ago.

Stephanie Ivy Stone is affiliated with one medical group in the FORTUNA area, PROVIDENCE MEDICAL FOUNDATION.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
3307 RENNER DR
FORTUNA, CA 95540-3119 US
Phone: (707)-725-6108
Fax:
Practice Mailing Information
3307 RENNER DR
FORTUNA, CA 95540-3119 US
Phone: (707)-725-6108
Fax: (707)-725-2651
License NumberState
1639CA
Type/IssuerIdentifierState
MEDICAIDGR0087580CA
TaxonomyStatePrimary?
Midwife - Taxonomy Code 176B00000X CAY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20091007000181
PECOS Individual PAC ID:7113991597
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) -
Eligible to order/refer Power Mobility Devices (PMD) -