John Scott Stadalsky, MD in Goose Creek, SC

John Scott Stadalsky, MD is a medicare enrolled "Pediatrics" physician in Goose Creek, South Carolina. His current practice location is 105 Springhall Dr, Goose Creek, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 766-6308.

John Scott Stadalsky is licensed to practice in South Carolina (license number 24015) 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 1699720250.

Contact Information

	John Scott Stadalsky, MD
	105 Springhall Dr, Goose Creek, SC 29445-5370
	(843) 766-6308
	(866) 533-4473

Map and Direction

Physician's Profile

Full Name	John Scott Stadalsky
Gender	Male
Speciality	Pediatrics
Location	105 Springhall Dr, Goose Creek, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699720250
Provider Enumeration Date: 05/23/2006
Last Update Date: 12/20/2019

Medicare PECOS Information:

PECOS PAC ID: 2365346640
Enrollment ID: I20031120000188

Medical Identifiers

Medical identifiers for John Scott Stadalsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699720250	NPI	-	NPPES
T83086	Medicaid	SC
571020809007	Other	SC	BCBS SC
571020809042	Other	SC	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	24015 (South Carolina)	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. John Scott Stadalsky allows following entities to bill medicare on his behalf.

Entity Name	Musc Affiliate Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548849482 PECOS PAC ID: 6305241027 Enrollment ID: O20210818002996

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. John Scott Stadalsky 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
John Scott Stadalsky, MD 1871 Savage Rd, Charleston, SC 29407-4726 Ph: (843) 531-9961	John Scott Stadalsky, MD 105 Springhall Dr, Goose Creek, SC 29445-5370 Ph: (843) 766-6308

Reviews and Comments

Pediatrics Doctors in Goose Creek, SC

Jason Winkler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Nnptc Cir, Goose Creek, SC 29445 Phone: 843-794-6000
Ms. Zoe Kleckner Pogue, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Bridgetown Rd, Goose Creek, SC 29445 Phone: 843-572-3300 Fax: 843-797-3331
Thomas Plyler Hamilton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Springhall Dr, Goose Creek, SC 29445 Phone: 843-766-6308 Fax: 866-533-4473
Dr. Christine Marie Suarez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Bridgetown Rd, Goose Creek, SC 29445 Phone: 843-572-3300 Fax: 833-771-2207
Anna Harper Tucker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Springhall Dr, Goose Creek, SC 29445 Phone: 843-766-6308 Fax: 866-533-4473

John Scott Stadalsky, MD - Medicare Pediatrics in Goose Creek, SC