Edward P Stack, MD | |
5300 Gateway Ctr, Flint, MI 48507-3930 | |
(810) 720-9111 | |
(810) 720-9119 |
Full Name | Edward P Stack |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 33 Years |
Location | 5300 Gateway Ctr, Flint, Michigan |
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 |
---|---|---|---|
1801899885 | NPI | - | NPPES |
15474 | Other | MA | SPECTERA |
5100110 | Other | MI | AETNA |
4774225 | Medicaid | MI | |
C6993 | Other | MI | MCARE |
6736673005 | Other | MI | CIGNA |
110201 | Other | MI | CARE CHOICES |
1802511821 | Other | MI | BCBSM |
4301065179 | Other | MI | STATE LICENSE NUMBER |
000000010198 | Other | MI | CAPE MEDICAID |
028341 | Other | MI | MIDWEST HEALTH |
4604520 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 4301065179 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Vision Institute Pllc | 1658317748 | 5 |
Entity Name | Michigan Vision Institute Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780746081 PECOS PAC ID: 1658317748 Enrollment ID: O20050629000285 |
Mailing Address | Practice Location Address |
---|---|
Edward P Stack, MD 5300 Gateway Ctr, Flint, MI 48507-3930 Ph: (810) 720-9111 | Edward P Stack, MD 5300 Gateway Ctr, Flint, MI 48507-3930 Ph: (810) 720-9111 |
Dr. Steven Allen Boskovich, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1290 S Linden Rd, Flint, MI 48532 Phone: 810-732-6231 Fax: 810-732-0725 | |
Dr. Aman Khaled Shukairy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1160 S Linden Rd, Flint, MI 48532 Phone: 810-820-8230 Fax: 810-820-8937 | |
Dr. David A Diskin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4499 Town Center Pkwy, Flint, MI 48532 Phone: 810-733-7111 Fax: 810-733-7141 | |
John A Waters, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5055 W Bristol Rd, Flint, MI 48507 Phone: 810-732-2272 Fax: 810-732-8470 | |
Dr. Jeffrey A Diskin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4499 Town Center Pkwy, Flint, MI 48532 Phone: 810-733-7111 Fax: 810-733-7141 | |
Dr. Gary M Keoleian, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4499 Town Center Pkwy, Flint, MI 48532 Phone: 810-733-7111 Fax: 810-733-7141 | |
Daniel Joseph Ryan, MD Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 1113 Villa Linde Ct, Flint, MI 48532 Phone: 810-733-1214 Fax: 810-733-3011 |