| Mark Joseph Stavas, MD | |
|
4101 Tiger Lily Rd Ste 100, Lincoln, NE 68516-5587 | |
| (402) 420-7000 | |
| (402) 420-6969 |
| Full Name | Mark Joseph Stavas |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 15 Years |
| Location | 4101 Tiger Lily Rd Ste 100, Lincoln, Nebraska |
| 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 |
|---|---|---|---|
| 1336468636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD53147 (Tennessee) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 30395 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bryan Medical Center | Lincoln, NE | Hospital |
| Chi Health St. Elizabeth | Lincoln, NE | Hospital |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chi Health Clinic Specialty Llc | 4789098443 | 251 |
| Cancer Partners Of Nebraska Pc | 9436148426 | 25 |
| Entity Name | Bryan Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699384370 PECOS PAC ID: 4284628652 Enrollment ID: O20040409000481 |
| Entity Name | Cancer Partners Of Nebraska Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437111408 PECOS PAC ID: 9436148426 Enrollment ID: O20040506000756 |
| Entity Name | Chi Health Clinic Specialty Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Joseph Stavas, MD 4101 Tiger Lily Rd Ste 100, Lincoln, NE 68516-5587 Ph: (402) 420-7000 | Mark Joseph Stavas, MD 4101 Tiger Lily Rd Ste 100, Lincoln, NE 68516-5587 Ph: (402) 420-7000 |
David M Schmidt, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 7601 Pioneers Blvd, Lincoln, NE 68506 Phone: 402-484-6677 Fax: 402-484-4476 | |
Eric M Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3901 Pine Lake Rd, Suite 300, Lincoln, NE 68516 Phone: 402-420-3500 | |
Douglas J Winjum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7121 Stephanie Ln, Ste 100, Lincoln, NE 68516 Phone: 402-420-3500 | |
Dr. Kathryn Totino, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3901 Pine Lake Rd Ste 214, Lincoln, NE 68516 Phone: 402-481-6000 Fax: 402-423-4100 | |
Rahul S Razdan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Pioneers Blvd, Lincoln, NE 68506 Phone: 402-484-6677 Fax: 402-484-4476 | |
Michael D Dewald, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Pioneers Blvd, Lincoln, NE 68506 Phone: 402-484-6677 Fax: 402-484-4476 | |
Dr. Clark B Diffendaffer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Pioneers Blvd, Lincoln, NE 68506 Phone: 402-484-6677 |