Dr Vince J Stack, MD in Salida, CO - Medicare Family Practice

Dr Vince J Stack, MD is a medicare enrolled "Family Medicine" physician in Salida, Colorado. He went to University Of Utah School Of Medicine and graduated in 1993 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Life Care Physician Services Llc and his current practice location is 530 W 16th St, Salida, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 539-6112.

Dr Vince J Stack is licensed to practice in Colorado (license number 46814) 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 1497706071.

Contact Information

	Dr Vince J Stack, MD
	530 W 16th St, Salida, CO 81201-2240
	(719) 539-6112
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Vince J Stack
Gender	Male
Speciality	Family Practice
Experience	33 Years
Location	530 W 16th St, Salida, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Vince J Stack attended and graduated from University Of Utah School Of Medicine in 1993

NPI Data:

NPI Number: 1497706071
Provider Enumeration Date: 05/16/2006
Last Update Date: 02/03/2023

Medicare PECOS Information:

PECOS PAC ID: 0042207003
Enrollment ID: I20081215000694

Medical Identifiers

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

Identifier	Type	State	Issuer
1497706071	NPI	-	NPPES
45604771	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	46814 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Heart Of The Rockies Regional Medical Center	Salida, CO	Hospital
San Luis Valley Health	Alamosa, CO	Hospital
Rio Grande Hospital	Del norte, CO	Hospital
Columbine Manor Care Center	Salida, CO	Nursing home
San Luis Care Center	Alamosa, CO	Nursing home
Evergreen Nursing Home	Alamosa, CO	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Life Care Physician Services Llc	5395861306	15

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 Vince J Stack allows following entities to bill medicare on his behalf.

Entity Name	Life Care Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770807919 PECOS PAC ID: 5395861306 Enrollment ID: O20111122000206

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 Vince J 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 Vince J Stack, MD Po Box 2153 Dept 40339, Birmingham, AL 35287-9387 Ph: (423) 310-1642	Dr Vince J Stack, MD 530 W 16th St, Salida, CO 81201-2240 Ph: (719) 539-6112

Reviews and Comments

Family Medicine Doctors in Salida, CO

Mary A Reeves, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 910 Rush Dr, Salida, CO 81201 Phone: 719-539-6637 Fax: 719-539-5275
Matthew David Burkley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Rush Dr, Salida, CO 81201 Phone: 719-539-6637 Fax: 719-539-5275
Patricia Anne Duletsky, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 327 E 1st St, Salida, CO 81201 Phone: 719-539-6637 Fax: 719-539-5275
Joel Schaler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Rush Dr, Salida, CO 81201 Phone: 719-539-6637 Fax: 719-539-5275
Ashley Ohara, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 W Hwy 50, Salida, CO 81201 Phone: 719-530-2022
Kim Scheuer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12325 Coyote Valley Rd, Salida, CO 81201 Phone: 970-309-8528 Fax: 833-371-1490
Dr. Amy Caroline Leach Beauprez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 W Hwy 50, Salida, CO 81201 Phone: 719-530-2022

Dr Vince J Stack, MD - Medicare Family Practice in Salida, CO