Edward Jordan Stoll Jr, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Wheat Ridge, Colorado. His current practice location is
3455 Lutheran Pkwy Ste 105, Wheat Ridge, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 665-2603.
Edward Jordan Stoll Jr is licensed to practice in Colorado (license number 30560) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841201217.
Physician's Profile
| Full Name | Edward Jordan Stoll Jr |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery - Sports Medicine |
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| Location | 3455 Lutheran Pkwy Ste 105, Wheat Ridge, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841201217
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 8022916998
- Enrollment ID: I20050318000542
Medical Identifiers
Medical identifiers for Edward Jordan Stoll Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841201217 | NPI | - | NPPES |
| 01305606 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 30560 (Colorado) | 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. Edward Jordan Stoll Jr allows following entities to bill medicare on his behalf.
| Entity Name | Orthopedic Centers Of Colorado Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801339502 PECOS PAC ID: 2365714540 Enrollment ID: O20170823001317 |
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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. Edward Jordan Stoll Jr 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 |
Edward Jordan Stoll Jr, MD 3455 Lutheran Pkwy, Ste 105, Wheat Ridge, CO 80033-6028 Ph: (303) 665-2603 | Edward Jordan Stoll Jr, MD 3455 Lutheran Pkwy Ste 105, Wheat Ridge, CO 80033-6028 Ph: (303) 665-2603 |
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