John Stanback, MD in Columbus, MS - Medicare Family Medicine

John Stanback, MD is a medicare enrolled "Family Medicine" physician in Columbus, Mississippi. His current practice location is 2600 5th St N, Columbus, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 244-2960.

John Stanback is licensed to practice in Mississippi (license number 13912) 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 1629034764.

Contact Information

	John Stanback, MD
	2600 5th St N, Columbus, MS 39705-2010
	(662) 244-2960
	(662) 244-2964

Map and Direction

Physician's Profile

Full Name	John Stanback
Gender	Male
Speciality	Family Medicine
Location	2600 5th St N, Columbus, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629034764
Provider Enumeration Date: 04/26/2006
Last Update Date: 05/14/2025

Medicare PECOS Information:

PECOS PAC ID: 7113119439
Enrollment ID: I20101005000933

Medical Identifiers

Medical identifiers for John Stanback such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629034764	NPI	-	NPPES
00112134	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	13912 (Mississippi)	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. John Stanback allows following entities to bill medicare on his behalf.

Entity Name	Dutch Medical Clinics, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215276175 PECOS PAC ID: 9234376088 Enrollment ID: O20130515000064

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. John Stanback 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
John Stanback, MD 350 N Humphreys Blvd, Memphis, TN 38120-2177 Ph: (901) 226-4003	John Stanback, MD 2600 5th St N, Columbus, MS 39705-2010 Ph: (662) 244-2960

Reviews and Comments

Family Medicine Doctors in Columbus, MS

Dr. Stefanie Lee Shaver, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Koritz Clinic 201 Independence Drive, Columbus, MS 39710 Phone: 662-434-2292
Dr. Ryan Wendt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 670 Leigh Dr, Columbus, MS 39705 Phone: 662-328-1012
Aaron Josias Salazar, Family Medicine Medicare: Medicare Enrolled Practice Location: 201 Independence Bldg 1100, Columbus, MS 39710 Phone: 662-434-2377
Dr. Gerald Turner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873
Robert L Buckley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873
Dr. Kevin Petronela Juozapavicius, D.O., MS, BS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Independence, Columbus Afb, Columbus, MS 39710 Phone: 662-434-2273

John Stanback, MD - Medicare Family Medicine in Columbus, MS