Dr Joni Marie Stasiak, MD is a medicare enrolled "Family Medicine" physician in Malvern, Ohio. She went to Northeastern Ohio University College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Carroll Family Healthcare and her current practice location is
635 Locust Street, Malvern, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 863-9061.
Dr Joni Marie Stasiak is licensed to practice in Ohio (license number 35067081) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245219187.
Physician's Profile
| Full Name | Dr Joni Marie Stasiak |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 32 Years |
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| Location | 635 Locust Street, Malvern, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Joni Marie Stasiak attended and graduated from Northeastern Ohio University College Of Medicine in 1992
NPI Data:
- NPI Number: 1245219187
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 10/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 9335323054
- Enrollment ID: I20110405000182
Medical Identifiers
Medical identifiers for Dr Joni Marie Stasiak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245219187 | NPI | - | NPPES |
| P00148632 | Other | OH | RAILROAD MEDICARE |
| 1389825 | Other | OH | UNITED HEALTHCARE |
| 000000210940 | Other | OH | ANTHEM BC BS |
| 0187837 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 35067081 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carroll Family Healthcare | 0345267431 | 2 |
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 Joni Marie Stasiak allows following entities to bill medicare on her behalf.
| Entity Name | Carroll Family Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235221169
PECOS PAC ID: 0345267431
Enrollment ID: O20051027001109 |
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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. Dr Joni Marie Stasiak 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 |
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Dr Joni Marie Stasiak, MD
635 Locust St,
Malvern, OH 44644-9210
Ph: (330) 863-9061 | Dr Joni Marie Stasiak, MD
635 Locust Street,
Malvern, OH 44644
Ph: (330) 863-9061 |
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