Toni L Stanley, MD - Medicare General Surgery in Fond Du Lac, WI

Toni L Stanley, MD is a medicare enrolled "Surgery" physician in Fond Du Lac, Wisconsin. She went to Medical College Of Wisconsin and graduated in 1993 and has 31 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Agnesian Healthcare Inc and her current practice location is 420 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 926-8485.

Toni L Stanley is licensed to practice in Wisconsin (license number 46615) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962484568.

Contact Information

Toni L Stanley, MD
420 E Division St,
Fond Du Lac, WI 54935-4560
(920) 926-8485
Not Available

Map and Direction




Physician's Profile

Full NameToni L Stanley
GenderFemale
SpecialityGeneral Surgery
Experience31 Years
Location420 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Toni L Stanley attended and graduated from Medical College Of Wisconsin in 1993
  NPI Data:
  • NPI Number: 1962484568
  • Provider Enumeration Date: 11/18/2005
  • Last Update Date: 11/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8426037680
  • Enrollment ID: I20040720000611

Medical Identifiers

Medical identifiers for Toni L Stanley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962484568NPI-NPPES
34504600MedicaidWI
P00141744OtherWIRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 46615 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Agnes HospitalFond du lac, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agnesian Healthcare Inc1658289624335

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. Toni L Stanley allows following entities to bill medicare on her behalf.
Entity NameAgnesian Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263

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. Toni L Stanley 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 AddressPractice Location Address
Toni L Stanley, MD
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340
Toni L Stanley, MD
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8485

Reviews and Comments


Surgery Doctors in Fond Du Lac, WI

Lutti Penton, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8614    
Christopher A Nervi, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8485    
Jon T Moen, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935
Phone: 920-926-5760    
Donald F Vanbeek, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 210 Wisconsin American Dr, Ste #265, Fond Du Lac, WI 54935
Phone: 920-907-7400    Fax: 920-907-7401
Joanne F Pasiuk, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8485    
Richard B Schaefer, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935
Phone: 920-926-8614    
Thomas J Carlson, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 145 N Main St, Fond Du Lac, WI 54935
Phone: 920-926-8492    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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