Dr Stanya Smith, MD - Medicare Neurology in Waukesha, WI

Dr Stanya Smith, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Waukesha, Wisconsin. She graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Prohealth Medical Group Inc and her current practice location is 1111 Delafield St Ste 105, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 542-9503.

Dr Stanya Smith is licensed to practice in Wisconsin (license number 46968-020) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205845732.

Contact Information

Dr Stanya Smith, MD
1111 Delafield St Ste 105,
Waukesha, WI 53188-3402
(262) 542-9503
(262) 542-8447

Map and Direction




Physician's Profile

Full NameDr Stanya Smith
GenderFemale
SpecialityNeurology
Experience47 Years
Location1111 Delafield St Ste 105, Waukesha, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Stanya Smith graduated from medical school in 1977
  NPI Data:
  • NPI Number: 1205845732
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 07/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0749255230
  • Enrollment ID: I20040827001240

Medical Identifiers

Medical identifiers for Dr Stanya Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205845732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 46968-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waukesha Memorial HospitalWaukesha, WIHospital
Oconomowoc Memorial HospitalOconomowoc, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188417

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 Stanya Smith allows following entities to bill medicare on her behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066

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 Stanya Smith 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 AddressPractice Location Address
Dr Stanya Smith, MD
1111 Delafield St Ste 105,
Waukesha, WI 53188-3402

Ph: (262) 542-9503
Dr Stanya Smith, MD
1111 Delafield St Ste 105,
Waukesha, WI 53188-3402

Ph: (262) 542-9503

Reviews and Comments


Psychiatry & Neurology Doctors in Waukesha, WI

Dr. Thomas Jerome Wilson, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 500 Riverview Ave, Waukesha, WI 53188
Phone: 262-548-7666    Fax: 262-548-7656
Dr. Malti Mahendra Patel, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 514 Riverview Ave, Waukesha, WI 53188
Phone: 262-548-7665    Fax: 262-970-6696
Dr. Maritoni Molina Abraham, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 20700 Watertown Rd, Suite 102, Waukesha, WI 53186
Phone: 262-782-1474    Fax: 262-782-1441
Paul Larson, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188
Phone: 262-928-2396    Fax: 262-544-1213
Randall B Steinhaus, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188
Phone: 262-928-2396    
Gobind Kang-chahal, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 514 Riverview Ave, Waukesha, WI 53188
Phone: 262-548-7666    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.