Dr Karolina Stack, MD in Oshkosh, WI

Dr Karolina Stack, MD is a medicare enrolled "Pediatrics" physician in Oshkosh, Wisconsin. Her current practice location is 2700 W 9th Ave Ste 211, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 223-8000.

Dr Karolina Stack is licensed to practice in Wisconsin (license number 83243) 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 1053842443.

Contact Information

	Dr Karolina Stack, MD
	2700 W 9th Ave Ste 211, Oshkosh, WI 54904-7865
	(920) 223-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Karolina Stack
Gender	Female
Speciality	Pediatrics
Location	2700 W 9th Ave Ste 211, Oshkosh, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053842443
Provider Enumeration Date: 03/27/2017
Last Update Date: 06/30/2025

Medicare PECOS Information:

PECOS PAC ID: 4082055421
Enrollment ID: I20240515004175

Medical Identifiers

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

Identifier	Type	State	Issuer
1053842443	NPI	-	NPPES
100273308	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	1053842243 (Illinois)	Secondary
208000000X	Pediatrics	036.151998 (Illinois)	Secondary
208000000X	Pediatrics	83243 (Wisconsin)	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 Karolina Stack allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group-fox Valley Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351

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 Karolina 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 Karolina Stack, MD 2700 W 9th Ave Ste 211, Oshkosh, WI 54904-7865 Ph: (920) 738-2000	Dr Karolina Stack, MD 2700 W 9th Ave Ste 211, Oshkosh, WI 54904-7865 Ph: (920) 223-8000

Reviews and Comments

Pediatrics Doctors in Oshkosh, WI

Dr. Deborah M Hermes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700
Dr. Scott B Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-4129
Susan M Szabo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1855 S Koeller St, Oshkosh, WI 54902 Phone: 920-223-7200
Dr. Jean Ruth Thur, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-456-5831
Dr. Vee Ly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-5632
Rebecca L Waldman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 600 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-727-9982

Dr Karolina Stack, MD - Medicare Pediatrics in Oshkosh, WI