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Stephanie Janson Staib

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

120 E 2nd St, 2nd Floor, Erie, PA 16507-1537

PECOS Enrollment

Based on the most recent information from CMS, provider Stephanie Janson Staib is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1396906343
Provider Type
Individual
Full Name
Janson Staib, Stephanie
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/23/2008
Last Updated
3/1/2023

Contact Information

Practice Location

120 E 2nd St, 2nd Floor, Erie, PA 16507-1537

(814) 456-8980

Unlisted Fax

Mailing Location

333 State St Ste 103, 2nd Floor, Erie, PA 16507-1450

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA053440 Pennsylvania

Stephanie Janson Staib

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Niemi, Marissa L

Francis, Ryan

Drushel, Alyssa

Respecki, Shelly

Vakufac, Emina

Diplacido, Corinne E

Fulgenzio, Gina M

Nee, Margaret Rose

Borisenko, Bogdan

Halilovic, Arijana