Dr Andrew Phillip Stack, MD in Columbus, GA

Dr Andrew Phillip Stack, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Columbus, Georgia. His current practice location is 710 Center St, Columbus, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 571-1311.

Dr Andrew Phillip Stack is licensed to practice in Georgia (license number 71886) 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 1902063407.

Contact Information

	Dr Andrew Phillip Stack, MD
	710 Center St, Columbus, GA 31901-1527
	(706) 571-1311
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Andrew Phillip Stack
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	710 Center St, Columbus, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902063407
Provider Enumeration Date: 05/21/2008
Last Update Date: 04/28/2025

Medicare PECOS Information:

PECOS PAC ID: 6406071471
Enrollment ID: I20140707001803

Medical Identifiers

Medical identifiers for Dr Andrew Phillip Stack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902063407	NPI	-	NPPES
P01335436	Other	GA	RAILROAD MEDICARE
003146322A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	071886 (Georgia)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	71886 (Georgia)	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 Andrew Phillip Stack allows following entities to bill medicare on his behalf.

Entity Name	Columbus Ambulatory Healthcare Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790733244 PECOS PAC ID: 1355244385 Enrollment ID: O20040128000790

Entity Name	Mppg Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338

Entity Name	Savannah Pediatric Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124532817 PECOS PAC ID: 8921353954 Enrollment ID: O20180622000096

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 Andrew Phillip Stack 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 Andrew Phillip Stack, MD 4700 Waters Ave, Savannah, GA 31404-6220 Ph: (912) 350-8180	Dr Andrew Phillip Stack, MD 710 Center St, Columbus, GA 31901-1527 Ph: (706) 571-1311

Reviews and Comments

Pediatrics Doctors in Columbus, GA

Subhendu De, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1311
Feoderis N Basilio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 14th St, Columbus, GA 31901 Phone: 706-507-5437 Fax: 706-507-5499
Dr. Barbara Lynn Menchan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 10th Ave, Suite 400, Columbus, GA 31901 Phone: 706-660-2932 Fax: 706-660-2935
Dr. Cheryl Carroll, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2416 Capstone Ct, Columbus, GA 31909 Phone: 706-327-1281 Fax: 706-327-1159
Mrs. Kelli B Whitted, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Brookstone Centre Pkwy, Columbus, GA 31904 Phone: 706-571-9699 Fax: 706-571-9565
Erik A. Heiss, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2416 Capstone Ct, Columbus, GA 31909 Phone: 706-327-1281 Fax: 706-576-9714
David H Levine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1002 Fax: 706-660-6504

Dr Andrew Phillip Stack, MD - Medicare Pediatrics in Columbus, GA