| Dr Frederick Richard Stack, MD | |
|
801 5th St, Sioux City, IA 51101-1326 | |
| (712) 279-2010 | |
| (712) 279-2034 |
| Full Name | Dr Frederick Richard Stack |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 801 5th St, Sioux City, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548256977 | NPI | - | NPPES |
| 436693002 | Medicaid | AZ | |
| AZ0866740 | Other | AZ | BLUE CROSS BLUEE SHIELD |
| 110208816 | Other | AZ | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 91977 (Montana) | Secondary |
| 207R00000X | Internal Medicine | MD-46368 (Iowa) | Primary |
| 174400000X | Specialist | 24459 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Benefis Hospitals Inc | Great falls, MT | Hospital |
| Banner-university Medical Center South Campus | Tucson, AZ | Hospital |
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| Cary Medical Center | Caribou, ME | Hospital |
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Benefis Hospitals Inc | 1153235296 | 401 |
| Banner-university Medical Group | 7719899871 | 1069 |
| Pines Health Services | 0749275113 | 59 |
| Eastern Maine Medical Center | 2062315161 | 663 |
| Entity Name | St Peters Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205025145 PECOS PAC ID: 7911814926 Enrollment ID: O20031204001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frederick Richard Stack, MD 6909 East Ray Road #15-114, Chandler, AZ 85226 Ph: (520) 421-1122 | Dr Frederick Richard Stack, MD 801 5th St, Sioux City, IA 51101-1326 Ph: (712) 279-2010 |
Sharon K Fey, PA C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 4th Street, Ste 410, Sioux City, IA 51101 Phone: 712-255-7746 Fax: 712-255-0829 | |
Kantima Phisitkul, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3500 Fax: 712-279-3640 | |
Dr. Peter Jon Anderson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 801 5th St, Sioux City, IA 51101 Phone: 712-279-2010 Fax: 712-279-2034 | |
Dr. Robert Mark Stewart, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2730 Pierce St, Suite 401, Sioux City, IA 51104 Phone: 712-255-8827 Fax: 712-255-4862 | |
William R Wanner, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5885 Sunnybrook Dr, Suite L-200, Sioux City, IA 51106 Phone: 712-239-4702 Fax: 712-224-5898 | |
Roque Bernardo Arteaga, M.D., FACC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5885 Sunnybrook Dr, Suite L-200, Sioux City, IA 51106 Phone: 712-239-4702 Fax: 712-224-5898 | |
Dr. Olusola Ogundipe, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 5th St, Sioux City, IA 51101 Phone: 712-279-2010 |