Mr Stanley Fudala, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fort Atkinson, Wisconsin. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Fort Healthcare Inc and his current practice location is
500 Mcmillen Street, Fort Atkinson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(950) 563-5571.
Mr Stanley Fudala is licensed to practice in Wisconsin (license number 41002-20) 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 1356317184.
Physician's Profile
| Full Name | Mr Stanley Fudala |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 32 Years |
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| Location | 500 Mcmillen Street, Fort Atkinson, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Stanley Fudala graduated from medical school in 1992
NPI Data:
- NPI Number: 1356317184
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991789075
- Enrollment ID: I20040616000411
Medical Identifiers
Medical identifiers for Mr Stanley Fudala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356317184 | NPI | - | NPPES |
| 34449000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 41002-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fort Healthcare Inc | 0840189718 | 122 |
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. Mr Stanley Fudala allows following entities to bill medicare on his behalf.
| Entity Name | Fort Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417993361
PECOS PAC ID: 0840189718
Enrollment ID: O20040319001411 |
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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. Mr Stanley Fudala 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 |
|---|
Mr Stanley Fudala, MD
500 Mcmillen St, Fort Healthcare,
Fort Atkinson, WI 53538-1233
Ph: (920) 563-5571 | Mr Stanley Fudala, MD
500 Mcmillen Street,
Fort Atkinson, WI 53538-1263
Ph: (950) 563-5571 |
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