MEDICARE: ALYSSA M. STONE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PAC1225	ND
2	363A00000X	Physician Assistant	32466	MT
3	363A00000X	Physician Assistant	PA1326	NV
4	363A00000X	Physician Assistant	PA.0009103	CO

General Provider Information

NPI Number	:	1154693729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA M. STONE PA-C

Provider Business Mailing Address
First Line	:	350 HERITAGE WAY
Second Line	:	SUITE 2100
City	:	KALISPELL
State	:	MT
Zip	:	59901-3158
Country	:	US
Telephone Number	:	406-257-8992
Fax Number	:	406-755-4161

Provider Business Practice Location Address
First Line	:	350 HERITAGE WAY
Second Line	:	SUITE 2100
City	:	KALISPELL
State	:	MT
Zip	:	59901-3158
Country	:	US
Telephone Number	:	406-257-8992
Fax Number	:	406-755-4161

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2012
Last Update Date	:	05/06/2026

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Directions to “ ALYSSA M. STONE PA-C” Practice Location

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