David W Stoltz, MD is a medicare enrolled "Pediatrics" physician in Charleston, Illinois. His current practice location is
116 W Buchanan Ave, Charleston, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 345-7700.
David W Stoltz is licensed to practice in Illinois (license number 036-089583) 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 1578674420.
Physician's Profile
Full Name | David W Stoltz |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 116 W Buchanan Ave, Charleston, Illinois |
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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: 1578674420
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 01/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 5799731766
- Enrollment ID: I20050323000927
Medical Identifiers
Medical identifiers for David W Stoltz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578674420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036-089583 (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. David W Stoltz allows following entities to bill medicare on his behalf.
Entity Name | Sarah Bush Lincoln Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
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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. David W Stoltz 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 |
David W Stoltz, MD 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4693 Ph: (217) 238-6055 | David W Stoltz, MD 116 W Buchanan Ave, Charleston, IL 61920-2522 Ph: (217) 345-7700 |
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