Dr Stephanie L Bantell, MD in Black River Falls, WI

Dr Stephanie L Bantell, MD is a medicare enrolled "Family Medicine" physician in Black River Falls, Wisconsin. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Krohn Clinic Ltd and her current practice location is 610 W Adams St, Black River Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 284-4311.

Dr Stephanie L Bantell is licensed to practice in Wisconsin (license number 57440-20) 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 1225314131.

Contact Information

	Dr Stephanie L Bantell, MD
	610 W Adams St, Black River Falls, WI 54615
	(715) 284-4311
	(715) 284-0475

Map and Direction

Physician's Profile

Full Name	Dr Stephanie L Bantell
Gender	Female
Speciality	Family Practice
Experience	19 Years
Location	610 W Adams St, Black River Falls, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Stephanie L Bantell graduated from medical school in 2005

NPI Data:

NPI Number: 1225314131
Provider Enumeration Date: 10/25/2011
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1850549742
Enrollment ID: I20120918000912

Medical Identifiers

Medical identifiers for Dr Stephanie L Bantell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225314131	NPI	-	NPPES
3928-850	Other	WI	TEP
57440-20	Other	WI	WI STATE LICENSE
41109	Other	IA	IOWA STATE BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	57440-20 (Wisconsin)	Primary
390200000X	Student In An Organized Health Care Education/training Program	57440-20 (Wisconsin)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	3928-850 (Wisconsin)	Secondary
207Q00000X	Family Medicine	41109 (Iowa)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Black River Memorial Hospital	Black river falls, WI	Hospital
Pine View Care Center	Black river falls, WI	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Krohn Clinic Ltd	3577464916	20

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 Stephanie L Bantell allows following entities to bill medicare on her behalf.

Entity Name	Krohn Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790777621 PECOS PAC ID: 3577464916 Enrollment ID: O20040119000050

Entity Name	Black River Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517

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 Stephanie L Bantell 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 Stephanie L Bantell, MD 610 W Adams St, Black River Falls, WI 54615-9110 Ph: (715) 284-4311	Dr Stephanie L Bantell, MD 610 W Adams St, Black River Falls, WI 54615 Ph: (715) 284-4311

Reviews and Comments

Family Medicine Doctors in Black River Falls, WI

Kirk Lane, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 Fax: 715-284-2568
Delbert W Rogers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 Fax: 715-284-2568
Jeffrey K Polzin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 Fax: 715-284-2568
Dr. Sarah June Busse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 Fax: 715-284-2568
Carol A Martin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 Fax: 715-284-1390
Neil Francis Cox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-5150

Dr Stephanie L Bantell, MD - Medicare Family Practice in Black River Falls, WI