James Russell Keller Stackhouse, MD is a medicare enrolled "Ophthalmology" physician in Fernandina, Florida. His current practice location is
6 S 14th St, Fernandina, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 261-5741.
James Russell Keller Stackhouse is licensed to practice in Florida (license number ME117902) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750517710.
Physician's Profile
| Full Name | James Russell Keller Stackhouse |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 6 S 14th St, Fernandina, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- James Russell Keller Stackhouse attended and graduated from in
NPI Data:
- NPI Number: 1750517710
- Provider Enumeration Date: 06/04/2009
- Last Update Date: 09/29/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for James Russell Keller Stackhouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750517710 | NPI | - | NPPES |
| 100661200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 770778 (Georgia) | Secondary |
| 207W00000X | Ophthalmology | ME117902 (Florida) | 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. James Russell Keller Stackhouse 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 |
|---|
James Russell Keller Stackhouse, MD
6 S 14th St,
Fernandina Beach, FL 32034-3212
Ph: (904) 261-5741 | James Russell Keller Stackhouse, MD
6 S 14th St,
Fernandina, FL 32034
Ph: (904) 261-5741 |
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