Christina Ann Stoller, AGPCNP-BC is a medicare enrolled "Internal Medicine" in Moline, Illinois. Her current practice location is
550 30th Ave Ste 12, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 277-1461.
Christina Ann Stoller is licensed to practice in Illinois (license number 209025316) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366172645.
Provider's Profile
Full Name | Christina Ann Stoller |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 550 30th Ave Ste 12, Moline, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366172645
- Provider Enumeration Date: 06/10/2022
- Last Update Date: 02/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163894205
- Enrollment ID: I20230217001799
Medical Identifiers
Medical identifiers for Christina Ann Stoller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366172645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041.399791 (Illinois) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 209.025316 (Illinois) | Secondary |
207R00000X | Internal Medicine | 209025316 (Illinois) | Primary |
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. Christina Ann Stoller allows following entities to bill medicare on her behalf.
Entity Name | Jai Swaminarayan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063794188 PECOS PAC ID: 7517132350 Enrollment ID: O20111207000148 |
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Entity Name | Thomas D Ade Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912612771 PECOS PAC ID: 2860867959 Enrollment ID: O20230403000984 |
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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. Christina Ann Stoller 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 |
Christina Ann Stoller, AGPCNP-BC 550 30th Ave Ste 12, Moline, IL 61265-5975 Ph: (309) 277-1461 | Christina Ann Stoller, AGPCNP-BC 550 30th Ave Ste 12, Moline, IL 61265-5975 Ph: (309) 277-1461 |
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