Mary Jo Stastny, MD - Medicare Internal Medicine in Appleton, WI

Mary Jo Stastny, MD is a medicare enrolled "Internal Medicine" physician in Appleton, Wisconsin. Her current practice location is 10 Tri Park Way, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 831-7919.

Mary Jo Stastny is licensed to practice in Wisconsin (license number 27088) 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 1073533402.

Contact Information

Mary Jo Stastny, MD
10 Tri Park Way,
Appleton, WI 54914-1658
(920) 831-7919
(920) 831-7939

Map and Direction




Physician's Profile

Full NameMary Jo Stastny
GenderFemale
SpecialityInternal Medicine
Location10 Tri Park Way, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073533402
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9032391495
  • Enrollment ID: I20110308000032

Medical Identifiers

Medical identifiers for Mary Jo Stastny such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073533402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 27088 (Wisconsin)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. Mary Jo Stastny allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-fox Valley Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351

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. Mary Jo Stastny 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 AddressPractice Location Address
Mary Jo Stastny, MD
10 Tri Park Way,
Appleton, WI 54914-1658

Ph: (920) 831-7919
Mary Jo Stastny, MD
10 Tri Park Way,
Appleton, WI 54914-1658

Ph: (920) 831-7919

Reviews and Comments


Internal Medicine Doctors in Appleton, WI

Daniela C Constantinescu, MD
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Mrs. Shannon Leah Schmidt,
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Dr. Sanjeevkumar Ashok Patel, M.D
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Practice Location: 2500 E Capitol Dr Ste 1700, Appleton, WI 54911
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Gail Mary Mcnutt, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 10 Tri Park Way, Appleton, WI 54914
Phone: 920-831-0070    Fax: 920-831-7936
Dong Bo Yu,
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Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    Fax: 920-225-1414
Deborah A Ihde, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-731-5811    Fax: 920-738-6293

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.