Diana Minasian Stulc, MD in Jackson, MS - Medicare Family Medicine

Diana Minasian Stulc, MD is a medicare enrolled "Family Medicine" physician in Jackson, Mississippi. Her current practice location is 969 Lakeland Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (615) 377-5658.

Diana Minasian Stulc is licensed to practice in Mississippi (license number 20783) 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 1225002165.

Contact Information

	Diana Minasian Stulc, MD
	969 Lakeland Dr, Jackson, MS 39216-4606
	(615) 377-5658
	(888) 241-1404

Map and Direction

Physician's Profile

Full Name	Diana Minasian Stulc
Gender	Female
Speciality	Family Medicine
Location	969 Lakeland Dr, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225002165
Provider Enumeration Date: 02/16/2006
Last Update Date: 12/21/2009

Medicare PECOS Information:

PECOS PAC ID: 9133162860
Enrollment ID: I20140212001157

Medical Identifiers

Medical identifiers for Diana Minasian Stulc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225002165	NPI	-	NPPES
01139543	Medicaid	MS
64024268	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20783 (Mississippi)	Primary
207Q00000X	Family Medicine	36090 (Kentucky)	Secondary

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. Diana Minasian Stulc allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Hospital Of Troy, New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782

Entity Name	St Peters Hospital Of The City Of Albany
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301

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. Diana Minasian Stulc 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
Diana Minasian Stulc, MD 5410 Maryland Way 300, Brentwood, TN 37072-5064 Ph: (615) 377-5658	Diana Minasian Stulc, MD 969 Lakeland Dr, Jackson, MS 39216-4606 Ph: (615) 377-5658

Reviews and Comments

Family Medicine Doctors in Jackson, MS

Dr. Tesia Shani Hall-hill, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5429 Robinson Road Ext, Jackson, MS 39204 Phone: 601-914-0163 Fax: 601-914-0170
Dr. Marcia L Howard, Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Dept Of Family Medicine, Jackson, MS 39216 Phone: 601-984-5426 Fax: 601-984-6889
Stephen Paul Epperson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-988-5281 Fax: 601-974-5241
Deborah O'bryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-4778 Fax: 601-984-5420
Dr. Cassandra Faye Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 514c E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-981-7198 Fax: 601-981-6616
Chad Allen Rhoden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3502 W Northside Dr, Jackson, MS 39213 Phone: 601-362-5321
Dr. Sheila Kalka Jeff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 350 W Woodrow Wilson Ave, Box 20, Jackson, MS 39213 Phone: 601-364-2666

Diana Minasian Stulc, MD - Medicare Family Medicine in Jackson, MS