Dr Olivia Stallard, DMD in Wise, VA - Medicare Dentist Provider

Dr Olivia Stallard, DMD is a medicare enrolled "Dentist" provider in Wise, Virginia. Her current practice location is 5626 Patriot Dr, Wise, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 328-8850.

Dr Olivia Stallard is licensed to practice in Virginia (license number 0401416861) 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 1972127074.

Contact Information

	Dr Olivia Stallard, DMD
	5626 Patriot Dr, Wise, VA 24293-1138
	(276) 328-8850
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Olivia Stallard
Gender	Female
Speciality	Dentist
Location	5626 Patriot Dr, Wise, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972127074
Provider Enumeration Date: 06/04/2020
Last Update Date: 06/04/2020

Medicare PECOS Information:

PECOS PAC ID: 5395271712
Enrollment ID: I20241209003872

Medical Identifiers

Medical identifiers for Dr Olivia Stallard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972127074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	0401416861 (Virginia)	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. Dr Olivia Stallard allows following entities to bill medicare on her behalf.

Entity Name	Dr Olivia Stallards Downtown Dental Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689420127 PECOS PAC ID: 4486180809 Enrollment ID: O20241209003818

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 Olivia Stallard 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
Dr Olivia Stallard, DMD Po Box 118, Coeburn, VA 24230-0118 Ph: () -	Dr Olivia Stallard, DMD 5626 Patriot Dr, Wise, VA 24293-1138 Ph: (276) 328-8850

Reviews and Comments

Dentist in Wise, VA

Dr. David E Templeton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 106 Water St, Wise, VA 24293 Phone: 276-328-5291 Fax: 276-328-2539
Dr. Robert Dwayne Kilgore, DMD Dentist Medicare: Medicare Enrolled Practice Location: 106 Water Street, Wise, VA 24293 Phone: 276-328-5291 Fax: 276-328-2539
Dr. Minh Tri Hoang Tran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5626 Patriot Dr, Wise, VA 24293 Phone: 678-296-6532
Dr. Ryan Christopher Yeates, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 106 Water St, Wise, VA 24293 Phone: 276-328-5291

Dr Olivia Stallard, DMD - Medicare Dentist in Wise, VA