Lori J Stack, MD in Philadelphia, PA - Medicare Obstetrics & Gynecology

Lori J Stack, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Philadelphia, Pennsylvania. Her current practice location is 3401 Civic Center Blvd, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 590-2730.

Lori J Stack is licensed to practice in Pennsylvania (license number MD449411) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760590525.

Contact Information

	Lori J Stack, MD
	3401 Civic Center Blvd, Philadelphia, PA 19104-4319
	(215) 590-2730
	(215) 590-4875

Map and Direction

Physician's Profile

Full Name	Lori J Stack
Gender	Female
Speciality	Obstetrics & Gynecology
Location	3401 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760590525
Provider Enumeration Date: 08/29/2006
Last Update Date: 11/21/2018

Medicare PECOS Information:

PECOS PAC ID: 4688667314
Enrollment ID: I20040407000624

Medical Identifiers

Medical identifiers for Lori J Stack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760590525	NPI	-	NPPES
102873853-0001	Medicaid	PA
9780246	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD449411 (Pennsylvania)	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. Lori J Stack allows following entities to bill medicare on her behalf.

Entity Name	Metro Women's Health Ii, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992984744 PECOS PAC ID: 5092896787 Enrollment ID: O20080119000031

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. Lori J Stack 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
Lori J Stack, MD 100 E Penn Sq, The Wanamaker Bldg. 9th Floor, Philadelphia, PA 19107-3323 Ph: (267) 425-9538	Lori J Stack, MD 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (215) 590-2730

Reviews and Comments

Obstetrics & Gynecology Doctors in Philadelphia, PA

Jennifer Bracken Imbriale, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St Fl 7, Philadelphia, PA 19140 Phone: 215-707-3187
Jenna Snyder, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 856-803-3694
Dr. Comreen Vargees, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3500 N Broad St, Philadelphia, PA 19140 Phone: 303-842-7009
Dr. Thomas A. Klein, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 834 Chestnut St, Suite 300, Philadelphia, PA 19107 Phone: 215-955-5000 Fax: 215-923-1089
Abike T James, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 5 Penn Tower, Philadelphia, PA 19104 Phone: 215-662-6035
Mathew N Beshara, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce Street, 5 Penn Tower, Philadelphia, PA 19104 Phone: 215-662-6035 Fax: 215-349-5228
Bernadette C Wheeler, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 1 West Gates, Philadelphia, PA 19104 Phone: 215-662-2730 Fax: 215-349-5224

Lori J Stack, MD - Medicare Obstetrics & Gynecology in Philadelphia, PA