Stanley Jay Noll, MD is a medicare enrolled "Family Medicine" physician in Havana, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mason Hospital District and his current practice location is
615 N Promenade St, Havana, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 543-6600.
Stanley Jay Noll is licensed to practice in Illinois (license number 036153332) 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 1952830036.
Physician's Profile
| Full Name | Stanley Jay Noll |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 7 Years |
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| Location | 615 N Promenade St, Havana, Illinois |
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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:
- Stanley Jay Noll attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2017
NPI Data:
- NPI Number: 1952830036
- Provider Enumeration Date: 06/12/2017
- Last Update Date: 02/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183041700
- Enrollment ID: I20200827002992
Medical Identifiers
Medical identifiers for Stanley Jay Noll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952830036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 125.070704 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036153332 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mason Hospital District | 2466360607 | 33 |
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 Jay Noll allows following entities to bill medicare on his behalf.
| Entity Name | Mason Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902849649
PECOS PAC ID: 2466360607
Enrollment ID: O20040412000399 |
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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. Stanley Jay Noll 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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Stanley Jay Noll, MD
Po Box 530,
Havana, IL 62644-0530
Ph: (309) 543-6600 | Stanley Jay Noll, MD
615 N Promenade St,
Havana, IL 62644-1243
Ph: (309) 543-6600 |
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