Stan D Phillips, MD is a medicare enrolled "Otolaryngology" physician in Huntersville, North Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 1991 and has 33 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice South Lake Ears Nose And Throat Pa and his current practice location is
9710 Sam Furr Rd, Unit D, Huntersville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 896-1909.
Stan D Phillips is licensed to practice in North Carolina (license number 0097-01107) 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 1124034202.
Physician's Profile
| Full Name | Stan D Phillips |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 33 Years |
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| Location | 9710 Sam Furr Rd, Huntersville, North Carolina |
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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:
- Stan D Phillips attended and graduated from Brody School Of Medicine At East Carolina University in 1991
NPI Data:
- NPI Number: 1124034202
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 01/24/2012
Medicare PECOS Information:
- PECOS PAC ID: 8426217985
- Enrollment ID: I20120302000419
Medical Identifiers
Medical identifiers for Stan D Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124034202 | NPI | - | NPPES |
| 891108A | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 0097-01107 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| South Lake Ears Nose And Throat Pa | 7517126071 | 3 |
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. Stan D Phillips allows following entities to bill medicare on his behalf.
| Entity Name | South Lake Ears Nose & Throat Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154695872
PECOS PAC ID: 7517126071
Enrollment ID: O20120302000386 |
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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. Stan D Phillips 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 |
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Stan D Phillips, MD
9710 Sam Furr Rd Unit D,
Huntersville, NC 28078-4928
Ph: (704) 896-1909 | Stan D Phillips, MD
9710 Sam Furr Rd, Unit D,
Huntersville, NC 28078-4977
Ph: (704) 896-1909 |
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