Mary Jo Stastny, MD in Appleton, WI - Medicare Internal Medicine

Mary Jo Stastny, MD is a medicare enrolled "Internal Medicine" physician in Appleton, Wisconsin. Her current practice location is 10 Tri Park Way, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 831-7919.

Mary Jo Stastny is licensed to practice in Wisconsin (license number 27088) 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 1073533402.

Contact Information

	Mary Jo Stastny, MD
	10 Tri Park Way, Appleton, WI 54914-1658
	(920) 831-7919
	(920) 831-7939

Map and Direction

Physician's Profile

Full Name	Mary Jo Stastny
Gender	Female
Speciality	Internal Medicine
Location	10 Tri Park Way, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073533402
Provider Enumeration Date: 07/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9032391495
Enrollment ID: I20110308000032

Medical Identifiers

Medical identifiers for Mary Jo Stastny such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073533402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	27088 (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. Mary Jo Stastny allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group-fox Valley Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351

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. Mary Jo Stastny 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
Mary Jo Stastny, MD 10 Tri Park Way, Appleton, WI 54914-1658 Ph: (920) 831-7919	Mary Jo Stastny, MD 10 Tri Park Way, Appleton, WI 54914-1658 Ph: (920) 831-7919

Reviews and Comments

Internal Medicine Doctors in Appleton, WI

Daniela C Constantinescu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S Madison St, Appleton, WI 54915 Phone: 920-730-4414
Dirk Steinert, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 Fax: 920-993-5037
Mrs. Shannon Leah Schmidt, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-364-3600 Fax: 920-364-3900
Dr. Sanjeevkumar Ashok Patel, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr Ste 1700, Appleton, WI 54911 Phone: 920-734-4773
Gail Mary Mcnutt, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Tri Park Way, Appleton, WI 54914 Phone: 920-831-0070 Fax: 920-831-7936
Dong Bo Yu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-225-1414
Deborah A Ihde, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-731-5811 Fax: 920-738-6293

Mary Jo Stastny, MD - Medicare Internal Medicine in Appleton, WI