Dr John Stephen Stalls, MD in Charleston, SC - Medicare Student in an Organized Health Care Education/Training Program

Dr John Stephen Stalls, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charleston, South Carolina. His current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-1414.

Dr John Stephen Stalls is licensed to practice in * (Not Available) (license number ) 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 1699202796.

Contact Information

	Dr John Stephen Stalls, MD
	171 Ashley Ave, Charleston, SC 29425-0100
	(843) 792-1414
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr John Stephen Stalls
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	171 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699202796
Provider Enumeration Date: 05/19/2017
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 4284904459
Enrollment ID: I20240806004323

Medical Identifiers

Medical identifiers for Dr John Stephen Stalls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699202796	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZH0000X	Pathology - Hematology	92766 (South Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Dr John Stephen Stalls allows following entities to bill medicare on his behalf.

Entity Name	University Medical Associates Of The Medical University Of South Carol
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

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. Dr John Stephen Stalls 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
Dr John Stephen Stalls, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-1414	Dr John Stephen Stalls, MD 171 Ashley Ave, Charleston, SC 29425-0100 Ph: (843) 792-1414

Dr John Stephen Stalls, MD - Medicare Student in an Organized Health Care Education/Training Program in Charleston, SC