Mr Richard Brian Stall Jr, CAA | |
320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | |
(502) 625-5584 | |
(502) 426-2264 |
Full Name | Mr Richard Brian Stall Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 8 Years |
Location | 320 Whittington Pkwy, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487102356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 75000005A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rutland Regional Medical Center | Rutland, VT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rutland Hospital Inc | 7214846377 | 158 |
Entity Name | Rutland Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295799047 PECOS PAC ID: 7214846377 Enrollment ID: O20040913000144 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Brian Stall Jr, CAA 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 Ph: (502) 625-5584 | Mr Richard Brian Stall Jr, CAA 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 Ph: (502) 625-5584 |
Scott Thomas Woodward, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 320 Whittington Pkwy, Suite 301, Louisville, KY 40222 Phone: 502-625-5584 Fax: 502-426-2264 | |
Katharine Elin Stahon, C-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Whittington Pkwy, Suite 301, Louisville, KY 40222 Phone: 502-625-5584 Fax: 502-426-2264 | |
Ms. Elizabeth Anne Rivera, C-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Whittington Pkwy Ste 301, Louisville, KY 40222 Phone: 502-625-5584 |