Samantha Stackpole, DC in Jerseyville, IL - Medicare Chiropractor Provider

Samantha Stackpole, DC is a medicare enrolled "Chiropractor" provider in Jerseyville, Illinois. Her current practice location is 105 N Washington St, Jerseyville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 556-1062.

Samantha Stackpole is licensed to practice in Illinois (license number 038.014047) 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 1487427696.

Contact Information

	Samantha Stackpole, DC
	105 N Washington St, Jerseyville, IL 62052-1633
	(618) 556-1062
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Stackpole
Gender	Female
Speciality	Chiropractor
Location	105 N Washington St, Jerseyville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487427696
Provider Enumeration Date: 10/31/2023
Last Update Date: 04/29/2025

Medicare PECOS Information:

PECOS PAC ID: 1355791120
Enrollment ID: I20231220002941

Medical Identifiers

Medical identifiers for Samantha Stackpole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487427696	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	038014047 (Illinois)	Secondary
111N00000X	Chiropractor	038.014047 (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. Samantha Stackpole allows following entities to bill medicare on her behalf.

Provider Name	Jerseyville Chiropractic And Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407452345 PECOS PAC ID: 4981018785 Enrollment ID: O20210205000031

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. Samantha Stackpole 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
Samantha Stackpole, DC 105 N Washington St, Jerseyville, IL 62052-1633 Ph: (618) 556-1062	Samantha Stackpole, DC 105 N Washington St, Jerseyville, IL 62052-1633 Ph: (618) 556-1062

Reviews and Comments

Chiropractor in Jerseyville, IL

Dr. Michael Ferris Williams Jr., D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 519 S State St, Jerseyville, IL 62052 Phone: 618-639-6611
Dr. Derek Alan Woolsey, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 104 N State St, Jerseyville, IL 62052 Phone: 618-498-3447 Fax: 618-498-1607
Dugger Chiropractic Center, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 104 N State St, Jerseyville, IL 62052 Phone: 618-498-3447 Fax: 618-498-1607
Dr. James A Briggs, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 903 S State St, Jerseyville, IL 62052 Phone: 618-498-8806 Fax: 618-798-8812
Ronald J Mueller, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 903 S State St, Jerseyville, IL 62052 Phone: 618-498-8806
Illinois Healthcenters Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 519 S State St, Jerseyville, IL 62052 Phone: 330-309-9550

Samantha Stackpole, DC - Medicare Chiropractor in Jerseyville, IL