Dr Shobha Williamson Stack, MD in Kirkland, WA

Dr Shobha Williamson Stack, MD is a medicare enrolled "Internal Medicine - Hospice And Palliative Medicine" physician in Kirkland, Washington. Her current practice location is 12040 Ne 128th St, Kirkland, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 542-3630.

Dr Shobha Williamson Stack is licensed to practice in Washington (license number 60503747) 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 1982993770.

Contact Information

	Dr Shobha Williamson Stack, MD
	12040 Ne 128th St, Kirkland, WA 98034-3013
	(425) 542-3630
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shobha Williamson Stack
Gender	Female
Speciality	Internal Medicine - Hospice And Palliative Medicine
Location	12040 Ne 128th St, Kirkland, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982993770
Provider Enumeration Date: 04/01/2011
Last Update Date: 07/16/2022

Medicare PECOS Information:

PECOS PAC ID: 2466775051
Enrollment ID: I20150107001179

Medical Identifiers

Medical identifiers for Dr Shobha Williamson Stack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982993770	NPI	-	NPPES
8936088	Other	WA	MEDICARE PIN
1982993770	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD60503747 (Washington)	Secondary
207RH0002X	Internal Medicine - Hospice And Palliative Medicine	60503747 (Washington)	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 Shobha Williamson Stack allows following entities to bill medicare on her behalf.

Entity Name	King County Public Hospital District No 2
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557

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 Shobha Williamson 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
Dr Shobha Williamson Stack, MD 12040 Ne 128th St, Kirkland, WA 98034-3013 Ph: (425) 542-3630	Dr Shobha Williamson Stack, MD 12040 Ne 128th St, Kirkland, WA 98034-3013 Ph: (425) 542-3630

Reviews and Comments

Internal Medicine Doctors in Kirkland, WA

David H Lee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11800 Ne 128th St, Suite 100, Kirkland, WA 98034 Phone: 425-899-4500 Fax: 425-899-4510
Mark R Vossler, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12333 Ne 130th Lane, #320, Kirkland, WA 98034 Phone: 425-899-0555 Fax: 425-899-1333
William S Getchell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12333 Ne 130th Lane, #320, Kirkland, WA 98034 Phone: 425-899-0555 Fax: 425-899-1333
Erin-siobhain Ross Currin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-3181
Dr. James A. Lund, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12910 Totem Lake Blvd Ne, Suite 101, Kirkland, WA 98034 Phone: 425-814-5000
Ronald W Yeh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11800 Ne 128th St, Suite 100, Kirkland, WA 98034 Phone: 425-899-4500 Fax: 425-899-4510
Dr. Sarah P. Rougier, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St # Ms 105, Kirkland, WA 98034 Phone: 425-899-2563

Dr Shobha Williamson Stack, MD - Medicare Internal Medicine in Kirkland, WA