Kathryn E Stack, MD is a medicare enrolled "Anesthesiology" physician in Old Lyme, Connecticut. Her current practice location is
15 Wood Crest Dr, Old Lyme, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(404) 932-9109.
Kathryn E Stack is licensed to practice in Connecticut (license number 57186) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326081969.
Physician's Profile
Full Name | Kathryn E Stack |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 15 Wood Crest Dr, Old Lyme, Connecticut |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kathryn E Stack attended and graduated from in
NPI Data:
- NPI Number: 1326081969
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 12/23/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kathryn E Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326081969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 57186 (Connecticut) | 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. Kathryn E Stack 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 |
Kathryn E Stack, MD 15 Wood Crest Dr, Old Lyme, CT 06371-2840 Ph: (404) 932-9109 | Kathryn E Stack, MD 15 Wood Crest Dr, Old Lyme, CT 06371-2840 Ph: (404) 932-9109 |
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