Dr Stanley Michael Stanish, MD is a medicare enrolled "General Practice" physician in Kingston, Pennsylvania. His current practice location is
675 Wyoming Ave, Kingston, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 288-4205.
Dr Stanley Michael Stanish is licensed to practice in Pennsylvania (license number MD039841-L) 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 1033257407.
Physician's Profile
Full Name | Dr Stanley Michael Stanish |
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Gender | Male |
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Speciality | General Practice |
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Location | 675 Wyoming Ave, Kingston, Pennsylvania |
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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: 1033257407
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 09/17/2010
Medicare PECOS Information:
- PECOS PAC ID: 2062695919
- Enrollment ID: I20110330000564
Medical Identifiers
Medical identifiers for Dr Stanley Michael Stanish such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033257407 | NPI | - | NPPES |
01026932 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | MD039841-L (Pennsylvania) | 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 Stanley Michael Stanish allows following entities to bill medicare on his behalf.
Entity Name | Medical Profesional Service, Pc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821136227 PECOS PAC ID: 1153395389 Enrollment ID: O20040824000414 |
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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 Stanley Michael Stanish 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 Stanley Michael Stanish, MD 675 Wyoming Ave, Kingston, PA 18704-3831 Ph: (570) 288-4205 | Dr Stanley Michael Stanish, MD 675 Wyoming Ave, Kingston, PA 18704-3831 Ph: (570) 288-4205 |
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