| Jason Travis Stack, MD | |
|
3955 Indian River Blvd Ste 100, Vero Beach, FL 32960-4800 | |
| (772) 569-2330 | |
| (772) 569-2632 |
| Full Name | Jason Travis Stack |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 12 Years |
| Location | 3955 Indian River Blvd Ste 100, Vero Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164869699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | ME135652 (Florida) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | ME135652 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Care | Jupiter, FL | Home health agency |
| Mihom Healthcare, Inc. | Port saint lucie, FL | Home health agency |
| Home Health Care Of Florida | Melbourne, FL | Home health agency |
| Cleveland Clinic Indian River Hospital | Vero beach, FL | Hospital |
| Steward Sebastian River Medical Center | Sebastian, FL | Hospital |
| Willowbrooke Court At Indian River Estates | Vero beach, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vero Orthopaedics Ii Pa | 2567454051 | 40 |
| Entity Name | Vero Orthopaedics Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184626079 PECOS PAC ID: 2567454051 Enrollment ID: O20040402000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Travis Stack, MD 3955 Indian River Blvd Ste 100, Vero Beach, FL 32960-4800 Ph: (772) 569-2330 | Jason Travis Stack, MD 3955 Indian River Blvd Ste 100, Vero Beach, FL 32960-4800 Ph: (772) 569-2330 |
Dr. Guy H Hickman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1155 35th Ln, Suite 100, Vero Beach, FL 32960 Phone: 772-569-2330 Fax: 772-569-2630 | |
Dr. Carl P Dilella, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1285 36th St Ste 100, Vero Beach, FL 32960 Phone: 772-778-2009 Fax: 772-778-1895 | |
Anthony Weston Ware, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1715 37th Pl Ste 101, Vero Beach, FL 32960 Phone: 772-778-0600 Fax: 772-581-8005 | |
Peter J Brooks, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3450 11th Ct Ste 302a, Vero Beach, FL 32960 Phone: 772-794-1444 | |
Alfredo Juan Arrojas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3955 Indian River Blvd Ste 100, Vero Beach, FL 32960 Phone: 772-569-2330 Fax: 772-569-2630 | |
Kent Smillie, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 787 37th St Ste E200, Vero Beach, FL 32960 Phone: 772-978-7808 Fax: 772-978-9320 |