Paul Edward Stanslaw, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Pine Ridge, South Dakota. His current practice location is
4500 East Hwy 18 / Pine Ridge Hospital, Behavioral Health Dept./ Indian Health Service, Pine Ridge, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 867-3100.
Paul Edward Stanslaw is licensed to practice in Arizona (license number 42587) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548392095.
Physician's Profile
Full Name | Paul Edward Stanslaw |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 4500 East Hwy 18 / Pine Ridge Hospital, Pine Ridge, South Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548392095
- Provider Enumeration Date: 03/11/2007
- Last Update Date: 04/24/2012
Medicare PECOS Information:
- PECOS PAC ID: 6103954672
- Enrollment ID: I20200429001100
Medical Identifiers
Medical identifiers for Paul Edward Stanslaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548392095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 42587 (Arizona) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 256385-1 (New York) | Secondary |
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. Paul Edward Stanslaw 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 |
Paul Edward Stanslaw, MD Behavioral Health Dept./ Indian Health Service, Pine Ridge Hospital/ East Hwy 18/ Po Box 1201, Pine Ridge, SD 57770-1201 Ph: (605) 867-3100 | Paul Edward Stanslaw, MD 4500 East Hwy 18 / Pine Ridge Hospital, Behavioral Health Dept./ Indian Health Service, Pine Ridge, SD 57770-1201 Ph: (605) 867-3100 |
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