Ms Janice Dudley Stahl, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sandersville, Georgia. Her current practice location is
102 Lakeview Dr, Sandersville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 553-9898.
Ms Janice Dudley Stahl is licensed to practice in Georgia (license number RN037289) 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 1043211519.
Provider's Profile
| Full Name | Ms Janice Dudley Stahl |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 102 Lakeview Dr, Sandersville, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043211519
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 03/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 5698947505
- Enrollment ID: I20111018000430
Medical Identifiers
Medical identifiers for Ms Janice Dudley Stahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043211519 | NPI | - | NPPES |
| 000556377A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R037289 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN33665 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN037289 (Georgia) | 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. Ms Janice Dudley Stahl allows following entities to bill medicare on her behalf.
| Entity Name | Sentry Anesthesia Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571 |
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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. Ms Janice Dudley Stahl 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 |
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Ms Janice Dudley Stahl, CRNA
Po Box 73709,
Newnan, GA 30271-3709
Ph: (770) 251-2060 | Ms Janice Dudley Stahl, CRNA
102 Lakeview Dr,
Sandersville, GA 31082-9406
Ph: (478) 553-9898 |
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