Dr Vince J Stack, MD | |
530 W 16th St, Salida, CO 81201-2240 | |
(719) 539-6112 | |
Not Available |
Full Name | Dr Vince J Stack |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 530 W 16th St, Salida, Colorado |
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 |
---|---|---|---|
1497706071 | NPI | - | NPPES |
45604771 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 46814 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Heart Of The Rockies Regional Medical Center | Salida, CO | Hospital |
Rio Grande Hospital | Del norte, CO | Hospital |
San Luis Valley Health | Alamosa, CO | Hospital |
Columbine Manor Care Center | Salida, CO | Nursing home |
San Luis Care Center | Alamosa, CO | Nursing home |
Evergreen Nursing Home | Alamosa, CO | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Life Care Physician Services Llc | 5395861306 | 11 |
Entity Name | Life Care Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770807919 PECOS PAC ID: 5395861306 Enrollment ID: O20111122000206 |
Mailing Address | Practice Location Address |
---|---|
Dr Vince J Stack, MD Po Box 2153 Dept 40339, Birmingham, AL 35287-9387 Ph: (423) 310-1642 | Dr Vince J Stack, MD 530 W 16th St, Salida, CO 81201-2240 Ph: (719) 539-6112 |
Mary A Reeves, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 910 Rush Dr, Salida, CO 81201 Phone: 719-539-6637 Fax: 719-539-5275 | |
Matthew David Burkley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Rush Dr, Salida, CO 81201 Phone: 719-539-6637 Fax: 719-539-5275 | |
Patricia Anne Duletsky, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 327 E 1st St, Salida, CO 81201 Phone: 719-539-6637 Fax: 719-539-5275 | |
Joel Schaler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Rush Dr, Salida, CO 81201 Phone: 719-539-6637 Fax: 719-539-5275 | |
Ashley Ohara, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 W Hwy 50, Salida, CO 81201 Phone: 719-530-2022 | |
Kim Scheuer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12325 Coyote Valley Rd, Salida, CO 81201 Phone: 970-309-8528 Fax: 833-371-1490 | |
Dr. Amy Caroline Leach Beauprez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 W Hwy 50, Salida, CO 81201 Phone: 719-530-2022 |