Tina Sue Lucas Stoner, DMD is a medicare enrolled "Dentist - General Practice" provider in Canton, Missouri. Her current practice location is
28435 W Arapaho Ave, Canton, Missouri. You can reach out to her office (for appointments etc.) via phone at
(217) 653-2781.
Tina Sue Lucas Stoner is licensed to practice in Missouri (license number 2020009925) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487887741.
Healthcare Provider's Profile
Full Name | Tina Sue Lucas Stoner |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 28435 W Arapaho Ave, Canton, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487887741
- Provider Enumeration Date: 09/02/2009
- Last Update Date: 12/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416300876
- Enrollment ID: I20240201001892
Medical Identifiers
Medical identifiers for Tina Sue Lucas Stoner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487887741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 019028129 (Illinois) | Secondary |
1223G0001X | Dentist - General Practice | 2020009925 (Missouri) | 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. Tina Sue Lucas Stoner allows following entities to bill medicare on her behalf.
Entity Name | Community Health Centers Of Southeastern Iowa Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255339750 PECOS PAC ID: 4486562527 Enrollment ID: O20040219000446 |
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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. Tina Sue Lucas Stoner 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 |
Tina Sue Lucas Stoner, DMD 28435 W Arapaho Ave, Canton, MO 63435-2067 Ph: (217) 653-2781 | Tina Sue Lucas Stoner, DMD 28435 W Arapaho Ave, Canton, MO 63435-2067 Ph: (217) 653-2781 |
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