Stanley Dane Teeter, MD in Russellville, AR

Stanley Dane Teeter, MD is a medicare enrolled "Family Medicine" physician in Russellville, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1960 and has 64 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Marys Physician Services Llc and his current practice location is 101 Skyline Dr, Russellville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 968-2345.

Stanley Dane Teeter is licensed to practice in Arkansas (license number C-3080) 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 1932401080.

Contact Information

	Stanley Dane Teeter, MD
	101 Skyline Dr, Russellville, AR 72801-3363
	(479) 968-2345
	(479) 890-2467

Map and Direction

Physician's Profile

Full Name	Stanley Dane Teeter
Gender	Male
Speciality	Family Practice
Experience	64 Years
Location	101 Skyline Dr, Russellville, Arkansas
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:

Stanley Dane Teeter attended and graduated from University Of Arkansas College Of Medicine in 1960

NPI Data:

NPI Number: 1932401080
Provider Enumeration Date: 11/23/2010
Last Update Date: 09/30/2014

Medicare PECOS Information:

PECOS PAC ID: 9638338726
Enrollment ID: I20120308000737

Medical Identifiers

Medical identifiers for Stanley Dane Teeter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932401080	NPI	-	NPPES
103868001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	C-3080 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Marys Physician Services Llc	4981698032	63

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. Stanley Dane Teeter allows following entities to bill medicare on his behalf.

Entity Name	St Marys Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759

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. Stanley Dane Teeter 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
Stanley Dane Teeter, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345	Stanley Dane Teeter, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345

Reviews and Comments

Family Medicine Doctors in Russellville, AR

Kenneth B Turner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Skyline Dr, Russellville, AR 72801 Phone: 479-968-7170 Fax: 479-968-7607
Danny Walker, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Skyline Dr, Russellville, AR 72801 Phone: 479-968-7170 Fax: 479-968-7607
Mrs. Allison Hope Melton, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 W Main St, Russellville, AR 72801 Phone: 479-219-9913
Dr. Muska Ullah, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-964-4178 Fax: 479-964-5910
Lavon Jeneen Wood, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Skyline Dr, Russellville, AR 72801 Phone: 479-968-7170 Fax: 479-890-2467
Dr. Douglas H Lowrey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 S Utah Ave, Russellville, AR 72801 Phone: 479-968-2727
Dr. Andrew Mason Monfee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3812 W Main St, Russellville, AR 72801 Phone: 479-968-1245 Fax: 479-968-4137

Stanley Dane Teeter, MD - Medicare Family Practice in Russellville, AR