Kathryn E Stack, MD in Old Lyme, CT - Medicare Anesthesiology

Kathryn E Stack, MD is a medicare enrolled "Anesthesiology" physician in Old Lyme, Connecticut. She went to New York Medical College and graduated in 1992 and has 32 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Northeast Medical Group Inc and 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.

Contact Information

	Kathryn E Stack, MD
	15 Wood Crest Dr, Old Lyme, CT 06371-2840
	(404) 932-9109
	Not Available

Map and Direction

Physician's Profile

Full Name	Kathryn E Stack
Gender	Female
Speciality	Anesthesiology
Experience	32 Years
Location	15 Wood Crest Dr, Old Lyme, Connecticut
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 New York Medical College in 1992

NPI Data:

NPI Number: 1326081969
Provider Enumeration Date: 06/13/2006
Last Update Date: 12/23/2021

Medicare PECOS Information:

PECOS PAC ID: 4587727292
Enrollment ID: I20190912000966

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Westerly Hospital	Westerly, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Medical Group Inc	1254233836	1244

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. Kathryn E Stack allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20170518000594

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

Kathryn E Stack, MD - Medicare Anesthesiology in Old Lyme, CT