Craig Stagg, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Nampa, Idaho. His current practice location is
1150 N Sister Catherine Way, Nampa, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 302-7640.
Craig Stagg is licensed to practice in Idaho (license number M-16854) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568670842.
Physician's Profile
| Full Name | Craig Stagg |
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| Gender | Male |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | 1150 N Sister Catherine Way, Nampa, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568670842
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 10/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153229349
- Enrollment ID: I20221220000260
Medical Identifiers
Medical identifiers for Craig Stagg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568670842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | DR37193 (Colorado) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | M-16854 (Idaho) | 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. Craig Stagg allows following entities to bill medicare on his behalf.
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
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| Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024 |
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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. Craig Stagg 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 |
Craig Stagg, MD 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 367-5170 | Craig Stagg, MD 1150 N Sister Catherine Way, Nampa, ID 83687-3133 Ph: (208) 302-7640 |
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