Sherry Lynn Stern, PA-C
Individual provider Active NPI Medical Physician Assistant · Winnie, TX
NPI 1104933852 · NPPES record last updated Jan 19, 2016
Key facts
- NPI
- 1104933852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA0496 (TX)
- Practice address
- 538 Broadway
Winnie, TX 77665-7600 - Phone
- (409) 296-9505
- Fax
- (409) 296-2506
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doctors Express of the Beaumont Area PA
Practice addresses (Care Compare)
3195 Dowlen Rd
Suite 105
Beaumont, TX 77706-7272
Phone (409) 860-1888
Hospital & facility affiliations
- Riceland Medical Center
- University of Texas Medical Branch Galveston
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200129000774 | TX | Practitioner - Physician Assistant | 5294731428 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001729 | IA | MD | Mental Health Counselor |
| PA0496 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehealth, LLC | Current |
Accepting new patients | |
| Doctors Express of the Temple Area, PA | Past | Accepting new patients |
Interoperability endpoints
- sherry.stern.1@30899.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/FBBIAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001729 | IA | |
| Medical Physician Assistant | 363AM0700X | PA0496 | TX | Yes |
Addresses
Primary practice location
538 Broadway
Winnie, TX 77665-7600
Mailing address
538 Broadway
Winnie, TX 77665-7600
Phone (409) 296-9505
Other providers in Winnie, TX
- Joshua Alan Olmstead
- Angela Phifer
- Kevin M Prince
- Hallie Rogers
- Maria Guadalupe Sanchez
- Lexi Tarver
- The Arboretum Nursing and Rehabilitation Center of Winnie, Inc.
- Thompson Outpatient Clinic, LLC
- Danny Lee Thompson
- Sarah J Thompson
All providers in Winnie, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.