Stanley Jay Noll, MD is a medicare enrolled "Family Medicine" physician in Havana, Illinois. 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 | |
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Experience | 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. |
Medical Education and Training:
- Stanley Jay Noll attended and graduated from in
NPI Data:
- NPI Number: 1952830036
- Provider Enumeration Date: 06/12/2017
- Last Update Date: 02/07/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Stanley Jay Noll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952830036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 125.070704 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036153332 (Illinois) | Primary |
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 |
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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