Jerry M Stultz, MD in Canal Winchester, OH

Jerry M Stultz, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Canal Winchester, Ohio. His current practice location is 7901 Diley Rd Ste 150, Canal Winchester, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 355-9050.

Jerry M Stultz is licensed to practice in Ohio (license number 35092298) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780658997.

Contact Information

	Jerry M Stultz, MD
	7901 Diley Rd Ste 150, Canal Winchester, OH 43110-9613
	(614) 355-9050
	Not Available

Map and Direction

Physician's Profile

Full Name	Jerry M Stultz
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	7901 Diley Rd Ste 150, Canal Winchester, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780658997
Provider Enumeration Date: 02/14/2006
Last Update Date: 02/14/2022

Medicare PECOS Information:

PECOS PAC ID: 8921056003
Enrollment ID: I20160706002566

Medical Identifiers

Medical identifiers for Jerry M Stultz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780658997	NPI	-	NPPES
0163646	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	41344 (Minnesota)	Secondary
208000000X	Pediatrics	35092298 (Ohio)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	35092298 (Ohio)	Primary

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. Jerry M Stultz allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Academic Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198

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. Jerry M Stultz 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
Jerry M Stultz, MD 700 Children's Drive, Columbus, OH 43205-2664 Ph: (614) 722-2000	Jerry M Stultz, MD 7901 Diley Rd Ste 150, Canal Winchester, OH 43110-9613 Ph: (614) 355-9050

Reviews and Comments

Pediatrics Doctors in Canal Winchester, OH

Nicholas Steve Stevens, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7750 Diley Rd Ste A, Canal Winchester, OH 43110 Phone: 614-837-7337 Fax: 614-837-7335
Julie R Javorek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6201 Gender Rd, Canal Winchester, OH 43110 Phone: 614-834-8042 Fax: 614-837-8035
Laura V Bowser, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6201 Gender Rd, Canal Winchester, OH 43110 Phone: 614-834-8042 Fax: 614-837-8035
Tyler Fick, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Diley Rd Ste 150, Canal Winchester, OH 43110 Phone: 614-355-9050
Stacy L Scudder, Pediatrics Medicare: Medicare Enrolled Practice Location: 6201 Gender Rd, Canal Winchester, OH 43110 Phone: 614-834-8042 Fax: 614-837-8035
Rachael Esther Levine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Diley Rd Ste 150, Canal Winchester, OH 43110 Phone: 614-355-9050
Sara L Welsh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6201 Gender Rd, Canal Winchester, OH 43110 Phone: 614-834-8042 Fax: 614-837-8035

Jerry M Stultz, MD - Medicare Pediatrics in Canal Winchester, OH