Dr Stephen Stack, MD | |
7094 E Main St, Reynoldsburg, OH 43068-2010 | |
(614) 237-1067 | |
(614) 237-2655 |
Full Name | Dr Stephen Stack |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 7094 E Main St, Reynoldsburg, Ohio |
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 |
---|---|---|---|
1316985146 | NPI | - | NPPES |
2148465 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35076100 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Methodist Hospital | Columbus, OH | Hospital |
Grant Medical Center | Columbus, OH | Hospital |
Mount Carmel East & West | Columbus, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metropolitan Family Care, Inc. | 1355307141 | 4 |
Ohiohealth Corporation | 6305758426 | 1940 |
Entity Name | Ohiohealth Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | Metropolitan Family Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912066499 PECOS PAC ID: 1355307141 Enrollment ID: O20041203000211 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Stack, MD 7094 E Main St, Reynoldsburg, OH 43068-2010 Ph: (614) 237-1067 | Dr Stephen Stack, MD 7094 E Main St, Reynoldsburg, OH 43068-2010 Ph: (614) 237-1067 |
Dr. Kennedy Ovenseri, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 8050 E Main Street, Ste 2300, Reynoldsburg, OH 43068 Phone: 614-865-8011 | |
Holly A Thompson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6488 E Main St, Suite 110, Reynoldsburg, OH 43068 Phone: 614-860-8070 Fax: 614-860-8061 | |
Pramita Kothakota, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Davidson Dr, Reynoldsburg, OH 43068 Phone: 614-533-6440 | |
Ebunoluwa B Wion, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2014 Baltimore Reynoldsburg Rd, Reynoldsburg, OH 43068 Phone: 614-533-6440 Fax: 614-533-0140 | |
Ghassoub Rifai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Davidson Dr, Reynoldsburg, OH 43068 Phone: 614-533-6440 | |
Randolph Schultz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6488 E Main St, Suite 110, Reynoldsburg, OH 43068 Phone: 614-860-8080 Fax: 614-860-8061 | |
Damodar Poudel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7335 E Livingston Ave, Reynoldsburg, OH 43068 Phone: 614-328-9200 Fax: 614-328-9300 |