Dr Richard S Stack, MD | |
1 Jarrett White Rd, Tripler Army Medical Center, Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | |
(808) 433-2460 | |
(808) 433-1558 |
Full Name | Dr Richard S Stack |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 38 Years |
Location | 1 Jarrett White Rd, Tripler Amc, Hawaii |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376519017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MA50961 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hilo Medical Center | Hilo, HI | Hospital |
Kau Hospital | Pahala, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hilo Medical Center | 1254422900 | 72 |
Kau Hospital | 7416945548 | 89 |
Entity Name | Kau Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144304338 PECOS PAC ID: 7416945548 Enrollment ID: O20040601000398 |
Entity Name | Hilo Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962584060 PECOS PAC ID: 1254422900 Enrollment ID: O20070809000268 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard S Stack, MD 1 Jarrett White Rd, Tripler Army Medical Center, Attn: Mchk-qs, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460 | Dr Richard S Stack, MD 1 Jarrett White Rd, Tripler Army Medical Center, Attn: Mchk-qs, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460 |
Thomas Gerald, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 806-681-6541 | |
Ernesto Montecillo Padilla, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn:mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 | |
Dr. William Gilliam Kennon Iii, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 |