Thomas Joseph Stack, MD in Baltimore, MD - Medicare Dentist Provider

Thomas Joseph Stack, MD is a medicare enrolled "Dentist" provider in Baltimore, Maryland. His current practice location is 421 Fallsway, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 837-5533.

Thomas Joseph Stack is licensed to practice in Maryland (license number 14396) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578798799.

Contact Information

	Thomas Joseph Stack, MD
	421 Fallsway, Baltimore, MD 21202-4800
	(410) 837-5533
	(410) 837-8020

Map and Direction

Healthcare Provider's Profile

Full Name	Thomas Joseph Stack
Gender	Male
Speciality	Dentist
Location	421 Fallsway, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578798799
Provider Enumeration Date: 05/18/2009
Last Update Date: 10/12/2015

Medicare PECOS Information:

PECOS PAC ID: 4981908837
Enrollment ID: I20240424001311

Medical Identifiers

Medical identifiers for Thomas Joseph Stack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578798799	NPI	-	NPPES
383841200	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	14396 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas Joseph Stack allows following entities to bill medicare on his behalf.

Entity Name	North Mississippi Commission On Mental Illness/mental Retardation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558468694 PECOS PAC ID: 6103084041 Enrollment ID: O20120222001054

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. Thomas Joseph Stack 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 Address	Practice Location Address
Thomas Joseph Stack, MD 421 Fallsway, Baltimore, MD 21202-4800 Ph: (410) 837-5533	Thomas Joseph Stack, MD 421 Fallsway, Baltimore, MD 21202-4800 Ph: (410) 837-5533

Reviews and Comments

Dentist in Baltimore, MD

Fred Matthew Lee, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 650 W Baltimore St Ste 6402, Baltimore, MD 21201 Phone: 410-706-7461
Dr. Nicholas Sewell Bennett, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 10 N Greene St, 2-d-137, Baltimore, MD 21201 Phone: 410-605-7056
Michael A White, DDS Dentist Medicare: Medicare Enrolled Practice Location: 200 E 33rd St, Suite 284, Baltimore, MD 21218 Phone: 410-235-0062 Fax: 410-235-1495
Stanley Klein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2215 Ken Oak Road, Baltimore, MD 21209 Phone: 443-271-3682
Adrian A Sanchez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 817 Maiden Choice Ln, Suite 220, Baltimore, MD 21228 Phone: 410-719-9641
Dr. William Edward Leboe, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5 E Henrietta St, Baltimore, MD 21230 Phone: 410-659-0616 Fax: 410-539-1433
Mr. Brian Toms Wycall, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3701 Eastern Ave, Baltimore, MD 21224 Phone: 410-327-7639 Fax: 410-342-8093

Thomas Joseph Stack, MD - Medicare Dentist in Baltimore, MD