Laquisha M Stahl, NP is a medicare enrolled "Nurse Practitioner" physician in Beloit, Wisconsin. Her current practice location is
1650 Lee Lane, Beloit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 364-2200.
Laquisha M Stahl is licensed to practice in Wisconsin (license number 9900-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518433564.
Physician's Profile
| Full Name | Laquisha M Stahl |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1650 Lee Lane, Beloit, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518433564
- Provider Enumeration Date: 10/17/2018
- Last Update Date: 10/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416291455
- Enrollment ID: I20181203002063
Medical Identifiers
Medical identifiers for Laquisha M Stahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518433564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RN0300X | Internal Medicine - Nephrology | 209018312 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209018312 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 9900-33 (Wisconsin) | 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. Laquisha M Stahl allows following entities to bill medicare on her behalf.
| Entity Name | Rockford Health Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584 |
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| Entity Name | Rna Of Rockford, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336326388
PECOS PAC ID: 3870662398
Enrollment ID: O20080522000639 |
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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. Laquisha M Stahl 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 |
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Laquisha M Stahl, NP
1969 West Hart Rd,
Beloit, WI 53511-2283
Ph: (608) 364-5689 | Laquisha M Stahl, NP
1650 Lee Lane,
Beloit, WI 53511
Ph: (608) 364-2200 |
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