Patrick W Stack, MD - Pediatrics in Madison, IN

Patrick W Stack, MD is a Pediatrics physician based in Madison, Indiana. Patrick W Stack is licensed to practice in Indiana (license number 01033161) and his current practice location is 1373 E Sr 62, Madison, Indiana. He can be reached at his office (for appointments etc.) via phone at (812) 801-0300.

NPI number for Patrick W Stack is 1710918891 and his current mailing address is Po Box 3395, Evansville, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710918891.

Contact Information

Patrick W Stack, MD
1373 E Sr 62,
Madison, IN 47250
(812) 801-0300
(812) 801-0585

Map and Direction




Physician's Profile

Full NamePatrick W Stack
GenderMale
SpecialityPediatrics
Location1373 E Sr 62, Madison, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710918891
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 02/20/2019

Medical Identifiers

Medical identifiers for Patrick W Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710918891NPI-NPPES
412626POtherINSIHO
4370916OtherAETNA
000000042211OtherINANTHEM BCBS
1082594OtherKYPASSPORT KY MEDICAID
100148850AMedicaidIN
64759798MedicaidKY
2435578000OtherKYPASSPORT ADVANTAGE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 01033161 (Indiana)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. Patrick W Stack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patrick W Stack, MD
Po Box 3395,
Evansville, IN 47732-3395

Ph: () -
Patrick W Stack, MD
1373 E Sr 62,
Madison, IN 47250

Ph: (812) 801-0300

Reviews and Comments


Pediatrics Doctors in Madison, IN

Dr. Jennifer A Stone, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1373 E State Road 62, Madison, IN 47250
Phone: 812-801-0300    
Dr. Jenna Aleea Ali, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1373 E Sr 62, Madison, IN 47250
Phone: 812-801-0300    
Stephanie Nicole Morgan,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2420 Wilson Ave, Madison, IN 47250
Phone: 812-292-4464    
Susan M Stack, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1373 E Sr 62, Madison, IN 47250
Phone: 812-801-0300    Fax: 812-801-0585
Dr. Sarah R. Marshall, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 630 Broadway St, Madison, IN 47250
Phone: 812-273-5437    Fax: 812-801-8005
Diamond N Harris, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1373 E State Road 62, Madison, IN 47250
Phone: 812-801-0300    Fax: 812-801-0585

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