Sean Stack, MD in Salem, OR - Medicare Diagnostic Radiology

Sean Stack, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Salem, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Salem Radiology Consultants Pc, Salem Clinic, Pc, Portland Clinic and his current practice location is 2925 Ryan Dr Se, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 399-1264.

Sean Stack is licensed to practice in Oregon (license number MD20801) 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 1962453217.

Contact Information

	Sean Stack, MD
	2925 Ryan Dr Se, Salem, OR 97301-9687
	(503) 399-1264
	(503) 371-0777

Map and Direction

Physician's Profile

Full Name	Sean Stack
Gender	Male
Speciality	Diagnostic Radiology
Experience	30 Years
Location	2925 Ryan Dr Se, Salem, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sean Stack attended and graduated from Oregon Health Sciences University School Of Medicine in 1994

NPI Data:

NPI Number: 1962453217
Provider Enumeration Date: 05/12/2006
Last Update Date: 11/22/2023

Medicare PECOS Information:

PECOS PAC ID: 2860473311
Enrollment ID: I20040528001105

Medical Identifiers

Medical identifiers for Sean Stack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962453217	NPI	-	NPPES
288438	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	20801 (Oregon)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	MD20801 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Salem Hospital	Salem, OR	Hospital
West Valley Hospital	Dallas, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Salem Radiology Consultants Pc	0446148498	29
Salem Clinic, Pc	7517954514	87
Portland Clinic	8224942867	99

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. Sean Stack allows following entities to bill medicare on his behalf.

Entity Name	Portland Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558379099 PECOS PAC ID: 8224942867 Enrollment ID: O20031118000101

Entity Name	Salem Radiology Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649221813 PECOS PAC ID: 0446148498 Enrollment ID: O20040419000602

Entity Name	Salem Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912935594 PECOS PAC ID: 7517954514 Enrollment ID: O20040430000150

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. Sean Stack 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
Sean Stack, MD 2925 Ryan Dr Se, Salem, OR 97301-9687 Ph: (503) 399-1264	Sean Stack, MD 2925 Ryan Dr Se, Salem, OR 97301-9687 Ph: (503) 399-1264

Reviews and Comments

Radiology Doctors in Salem, OR

Michael Smolin, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777
Matthew Y Kang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Suite 1080, Salem, OR 97301 Phone: 503-561-5294 Fax: 503-561-4789
Gary Jones, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777
Dr. Jason Cody Hedge, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262
Dr. Edwin Yen Wang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 698 12th St Se Ste 145, Salem, OR 97301 Phone: 503-588-2674 Fax: 503-391-1200
Thomas Cullen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777
David Harrison, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777

Sean Stack, MD - Medicare Diagnostic Radiology in Salem, OR