| Brian Patrick Staak, MD | |
|
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | |
| (210) 916-8666 | |
| (210) 916-8712 |
| Full Name | Brian Patrick Staak |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 5 Years |
| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
| 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 |
|---|---|---|---|
| 1083241103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0101274302 (Virginia) | Secondary |
| 207L00000X | Anesthesiology | 48735 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Alabama Hospital | Birmingham, AL | Hospital |
| Baptist Medical Center South | Montgomery, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Alabama Health Services Foundation, Pc | 1951213107 | 2476 |
| Premier Anesthesia Of Montgomery Pc | 5799684148 | 80 |
| Entity Name | University Of Alabama Health Services Foundation, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
| Entity Name | Premier Anesthesia Of Montgomery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780636233 PECOS PAC ID: 5799684148 Enrollment ID: O20040105000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Patrick Staak, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-8666 | Brian Patrick Staak, MD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 916-8666 |
Dr. Kelly Galina Elterman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 617-504-4927 | |
Dr. Dominique A. Trappey, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7759 | |
Emily L Sturgill, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-4277 | |
Dr. Michael Shane Garrett, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg Wilford, Jbsa Lackland, TX 78236 Phone: 210-292-7759 |