Jerusha E Stahl, MD in New Canaan, CT - Medicare Internal Medicine

Jerusha E Stahl, MD is a medicare enrolled "Internal Medicine" physician in New Canaan, Connecticut. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Southern California Permanente Medical Group, Kaiser Foundation Health Plan Of The Northwest and her current practice location is 69 Grove St, New Canaan, Connecticut. You can reach out to her office (for appointments etc.) via phone at (844) 359-8363.

Jerusha E Stahl is licensed to practice in Connecticut (license number 76444) 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 1083894638.

Contact Information

	Jerusha E Stahl, MD
	69 Grove St, New Canaan, CT 06840-5325
	(844) 359-8363
	Not Available

Map and Direction

Physician's Profile

Full Name	Jerusha E Stahl
Gender	Female
Speciality	Internal Medicine
Experience	20 Years
Location	69 Grove St, New Canaan, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jerusha E Stahl graduated from medical school in 2004

NPI Data:

NPI Number: 1083894638
Provider Enumeration Date: 11/13/2007
Last Update Date: 11/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2567541998
Enrollment ID: I20080509000270

Medical Identifiers

Medical identifiers for Jerusha E Stahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083894638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	214779 (Oregon)	Secondary
207R00000X	Internal Medicine	61425057 (Washington)	Secondary
207R00000X	Internal Medicine	A101309 (California)	Secondary
261QM2500X	Clinic/center - Medical Specialty	1992372403 (Connecticut)	Secondary
261QM2500X	Clinic/center - Medical Specialty	1992372403 (New Jersey)	Secondary
261QM2500X	Clinic/center - Medical Specialty	1043889967 (New York)	Secondary
207R00000X	Internal Medicine	76444 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951
Kaiser Foundation Health Plan Of The Northwest	5799688230	1482

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. Jerusha E Stahl allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Jerusha E Stahl 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
Jerusha E Stahl, MD 3362 Southview Dr, Eugene, OR 97405-6243 Ph: (917) 232-1821	Jerusha E Stahl, MD 69 Grove St, New Canaan, CT 06840-5325 Ph: (844) 359-8363

Reviews and Comments

Internal Medicine Doctors in New Canaan, CT

Denise K Lautenbach, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 194 South Ave, New Canaan, CT 06840 Phone: 203-966-8079 Fax: 203-966-8223
Dr. Deena Rachel Ebright, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36 Grove St, 1st Floor, New Canaan, CT 06840 Phone: 203-966-6305 Fax: 203-966-4618
Yesha Gandhi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36 Grove St, 1st Floor, New Canaan, CT 06840 Phone: 203-966-6305
Richard E Westfal, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 173 East Ave, New Canaan, CT 06840 Phone: 203-972-4255 Fax: 203-801-2126
James A Slater, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 173 East Avenue, New Canaan, CT 06840 Phone: 203-966-7030 Fax: 203-766-6253
Peter M Shutkin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 173 East Avenue, New Canaan, CT 06840 Phone: 203-972-4255 Fax: 203-801-2126

Jerusha E Stahl, MD - Medicare Internal Medicine in New Canaan, CT