Paul Stockhammer, MD, PHD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. His current practice location is
20 York Street, Ynhh Tompkins 226, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 688-9503.
Paul Stockhammer is licensed to practice in * (Not Available) (license number ) 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 1679195275.
Physician's Profile
| Full Name | Paul Stockhammer |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 20 York Street, New Haven, Connecticut |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1679195275
- Provider Enumeration Date: 05/18/2020
- Last Update Date: 08/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618337031
- Enrollment ID: I20230718000442
Medical Identifiers
Medical identifiers for Paul Stockhammer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679195275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 75353 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Paul Stockhammer allows following entities to bill medicare on his behalf.
| Entity Name | Northeast Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522 |
|---|
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 Stockhammer 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 Stockhammer, MD, PHD
20 York Street, Ynhh Tompkins 226,
New Haven, CT 06510-3220
Ph: (203) 688-9503 | Paul Stockhammer, MD, PHD
20 York Street, Ynhh Tompkins 226,
New Haven, CT 06510-3220
Ph: (203) 688-9503 |
Reviews and Comments