Dr David Andrew Staneck, MD is a medicare enrolled "Urology" physician in Tualatin, Oregon. He went to Temple University School Of Medicine and graduated in 2003 and has 23 years of diverse experience with area of expertise as Urology. He is a member of the group practice Northwest Urology Llc and his current practice location is
12205 Sw Tualatin Rd Ste 100, Tualatin, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 223-6223.
Dr David Andrew Staneck is licensed to practice in Oregon (license number 169792) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730181199.
Physician's Profile
| Full Name | Dr David Andrew Staneck |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 23 Years |
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| Location | 12205 Sw Tualatin Rd Ste 100, Tualatin, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David Andrew Staneck attended and graduated from Temple University School Of Medicine in 2003
NPI Data:
- NPI Number: 1730181199
- Provider Enumeration Date: 08/15/2005
- Last Update Date: 02/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 7416172192
- Enrollment ID: I20150623000890
Medical Identifiers
Medical identifiers for Dr David Andrew Staneck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730181199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 169792 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northwest Urology Llc | 2668783770 | 14 |
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 David Andrew Staneck allows following entities to bill medicare on his behalf.
| Entity Name | Northwest Urology LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629461397
PECOS PAC ID: 2668783770
Enrollment ID: O20150616001796 |
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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. Dr David Andrew Staneck 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 |
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Dr David Andrew Staneck, MD
12205 Sw Tualatin Rd Ste 100,
Tualatin, OR 97062-7663
Ph: (503) 223-6223 | Dr David Andrew Staneck, MD
12205 Sw Tualatin Rd Ste 100,
Tualatin, OR 97062-7663
Ph: (503) 223-6223 |
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