Dr Stanley W Adkisson, MD is a medicare enrolled "Internal Medicine" physician in Reedsport, Oregon. His current practice location is
385 Ranch Rd, Reedsport, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 271-2119.
Dr Stanley W Adkisson is licensed to practice in Oregon (license number MD154233) 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 1235174723.
Physician's Profile
| Full Name | Dr Stanley W Adkisson |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 385 Ranch Rd, Reedsport, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235174723
- Provider Enumeration Date: 06/18/2006
- Last Update Date: 08/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284693284
- Enrollment ID: I20230912003383
Medical Identifiers
Medical identifiers for Dr Stanley W Adkisson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235174723 | NPI | - | NPPES |
| 840428757017 | Other | CO | ROCKY MOUNTAIN HEALTH PLA |
| 500639477 | Medicaid | OR | |
| 01223874 | Medicaid | CO | |
| AD376766 | Other | CO | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 22387 (Colorado) | Secondary |
| 207R00000X | Internal Medicine | MD154233 (Oregon) | Primary |
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 W Adkisson 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 W Adkisson, MD
600 Ranch Rd,
Reedsport, OR 97467-1720
Ph: (541) 271-2171 | Dr Stanley W Adkisson, MD
385 Ranch Rd,
Reedsport, OR 97467-1707
Ph: (541) 271-2119 |
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