Herbert A Stone Jr, MD - Medicare Emergency Medicine in Spanish Fort, AL

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Herbert A Stone Jr, MD is a medicare enrolled "Emergency Medicine" physician in Spanish Fort, Alabama. His current practice location is 33480 Alder Cir, Spanish Fort, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 454-6950.

Herbert A Stone Jr is licensed to practice in Alabama (license number MD.7883) 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 1285667162.

Contact Information

Herbert A Stone Jr, MD
33480 Alder Cir,
Spanish Fort, AL 36527-9095
(251) 454-6950
(251) 433-9890

Map and Direction




Physician's Profile

Full NameHerbert A Stone Jr
GenderMale
SpecialityEmergency Medicine
Location33480 Alder Cir, Spanish Fort, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285667162
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 04/07/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8729995386
  • Enrollment ID: I20050516000588

Medical Identifiers

Medical identifiers for Herbert A Stone Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285667162NPI-NPPES
009911552MedicaidAL
510-08236OtherALBCBS
009936108MedicaidAL
009936109MedicaidAL
515-97205OtherALBCBS
000008236MedicaidAL
510-04056OtherALBCBS
009936111MedicaidAL
510-01010OtherALBCBS
515-33137OtherALBCBS
009991615MedicaidAL
1285667162OtherALTRICARE SOUTH
515-33139OtherALBCBS
009937941MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist MD.7883 (Alabama)Secondary
207P00000XEmergency Medicine MD.7883 (Alabama)Primary
207Q00000XFamily Medicine MD.7883 (Alabama)Secondary

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. Herbert A Stone Jr allows following entities to bill medicare on his behalf.
Entity NameBaldwin Emergency Physicians, P.c..
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154378271
PECOS PAC ID: 4688627946
Enrollment ID: O20050225000807
Entity NameNursing Home Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619920741
PECOS PAC ID: 2567539588
Enrollment ID: O20080917000306
Entity NameInpatient Consultants Of Alabama, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235238916
PECOS PAC ID: 6709983422
Enrollment ID: O20110805000011
Entity NameRural Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932586476
PECOS PAC ID: 8820305600
Enrollment ID: O20150910001722
Entity NameTransitional Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891218194
PECOS PAC ID: 6709146285
Enrollment ID: O20180131002331

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. Herbert A Stone 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 AddressPractice Location Address
Herbert A Stone Jr, MD
33480 Alder Cir,
Spanish Fort, AL 36527-9095

Ph: (251) 454-6950		Herbert A Stone Jr, MD
33480 Alder Cir,
Spanish Fort, AL 36527-9095

Ph: (251) 454-6950

Reviews and Comments


Emergency Medicine Doctors in Spanish Fort, AL


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.