Johnny Dale Stackhouse, DO in Auburn, AL - Medicare Family Practice

Johnny Dale Stackhouse, DO is a medicare enrolled "Family Medicine" physician in Auburn, Alabama. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Auburn Pediatric And Adult Medicine, L.l.c. and his current practice location is 910 S Donahue Dr, Auburn, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 442-4012.

Johnny Dale Stackhouse is licensed to practice in Alabama (license number DO.1476) 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 1952569626.

Contact Information

	Johnny Dale Stackhouse, DO
	910 S Donahue Dr, Auburn, AL 36832-2975
	(334) 442-4012
	Not Available

Map and Direction

Physician's Profile

Full Name	Johnny Dale Stackhouse
Gender	Male
Speciality	Family Practice
Experience	13 Years
Location	910 S Donahue Dr, Auburn, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Johnny Dale Stackhouse attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2011

NPI Data:

NPI Number: 1952569626
Provider Enumeration Date: 05/29/2008
Last Update Date: 07/14/2016

Medicare PECOS Information:

PECOS PAC ID: 5890833289
Enrollment ID: I20160505002078

Medical Identifiers

Medical identifiers for Johnny Dale Stackhouse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952569626	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DO.1476 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
East Alabama Medical Center And Snf	Opelika, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Auburn Pediatric And Adult Medicine, L.l.c.	1557452752	14

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. Johnny Dale Stackhouse allows following entities to bill medicare on his behalf.

Entity Name	Hughston Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164461190 PECOS PAC ID: 1355254780 Enrollment ID: O20040102000796

Entity Name	Auburn Pediatric And Adult Medicine, L.l.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013126937 PECOS PAC ID: 1557452752 Enrollment ID: O20070801000878

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. Johnny Dale 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
Johnny Dale Stackhouse, DO 910 S Donahue Dr, Auburn, AL 36832-2975 Ph: (334) 442-4012	Johnny Dale Stackhouse, DO 910 S Donahue Dr, Auburn, AL 36832-2975 Ph: (334) 442-4012

Reviews and Comments

Family Medicine Doctors in Auburn, AL

Kaitlyn Littleton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2353 Bent Creek Rd Ste 110, Auburn, AL 36830 Phone: 334-887-8707 Fax: 334-887-8706
Dr. Franklin Keith Bufford Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 North Dean Road, Auburn, AL 36830 Phone: 334-826-1111 Fax: 334-321-0399
Tonya Elrod Bradley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2353 Bent Creek Rd, Ste 110, Auburn, AL 36830 Phone: 334-887-8707 Fax: 334-887-8706
Michael Ellison Canfield, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 N Dean Rd Ste 500, Auburn, AL 36830 Phone: 334-821-2708 Fax: 334-821-3309
Michael D Goodlett, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 349 South Donahue Drive, Suite 200, Auburn, AL 36849 Phone: 334-844-9821 Fax: 334-844-0932
Dr. Patricia Lyn Matto, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1702 Catherine Ct Ste 1a, Auburn, AL 36830 Phone: 334-501-1081
Mallory Louise Willis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1171 Gatewood Drive, #101, Auburn, AL 36830 Phone: 334-821-2708 Fax: 334-528-5420

Johnny Dale Stackhouse, DO - Medicare Family Practice in Auburn, AL