Dr Chad Stoller, DDS, PA-C - Medicare Dentist in Fort Wayne, IN

  1. Home
Dr Chad Stoller, DDS, PA-C is a medicare enrolled "Dentist" in Fort Wayne, Indiana. His current practice location is 2828 E State Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 482-6689.

Dr Chad Stoller is licensed to practice in Indiana (license number 12013438A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700871118.

Contact Information

Dr Chad Stoller, DDS, PA-C
2828 E State Blvd,
Fort Wayne, IN 46805-4761
(260) 482-6689
Not Available

Map and Direction




Provider's Profile

Full NameDr Chad Stoller
GenderMale
SpecialityDentist
Location2828 E State Blvd, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700871118
  • Provider Enumeration Date: 09/13/2005
  • Last Update Date: 07/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3971696543
  • Enrollment ID: I20210715004010

Medical Identifiers

Medical identifiers for Dr Chad Stoller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700871118NPI-NPPES
970021317OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5601003571 (Michigan)Secondary
363A00000XPhysician Assistant 5601003571 (Michigan)Secondary
122300000XDentist 12013438A (Indiana)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. Dr Chad 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 AddressPractice Location Address
Dr Chad Stoller, DDS, PA-C
2828 E State Blvd,
Fort Wayne, IN 46805-4761

Ph: (260) 482-6689		Dr Chad Stoller, DDS, PA-C
2828 E State Blvd,
Fort Wayne, IN 46805-4761

Ph: (260) 482-6689

Reviews and Comments



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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.