Melinda Ellen Stack, MD - Medicare Colorectal Surgery (proctology) in Chicago, IL

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Melinda Ellen Stack, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Chicago, Illinois. She went to University Of Chicago, Pritzker School Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Minnesota Oncology Hematology Pa, Fairview Health Services, Fairview Express Care and her current practice location is 5140 N California Ave Ste 560, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-1700.

Melinda Ellen Stack is licensed to practice in Illinois (license number 036135948) 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 1215223490.

Contact Information

Melinda Ellen Stack, MD
5140 N California Ave Ste 560,
Chicago, IL 60625-2577
(847) 570-1700
(847) 982-1098

Map and Direction




Physician's Profile

Full NameMelinda Ellen Stack
GenderFemale
SpecialityColorectal Surgery (proctology)
Experience15 Years
Location5140 N California Ave Ste 560, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Melinda Ellen Stack attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1215223490
  • Provider Enumeration Date: 06/25/2011
  • Last Update Date: 10/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921301961
  • Enrollment ID: I20190920000349

Medical Identifiers

Medical identifiers for Melinda Ellen Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215223490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208C00000XColon & Rectal Surgery 036135948 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
M Health Fairview St John's HospitalMaplewood, MNHospital
M Health Fairview Ridges HospitalBurnsville, MNHospital
Abbott Northwestern HospitalMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minnesota Oncology Hematology Pa6709799752131
Fairview Health Services1951213057677
Fairview Express Care33756451791946

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. Melinda Ellen Stack allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811077175
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameMinnesota Oncology Hematology PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528035995
PECOS PAC ID: 6709799752
Enrollment ID: O20031106000626
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Melinda Ellen 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 AddressPractice Location Address
Melinda Ellen Stack, MD
5140 N California Ave Ste 560,
Chicago, IL 60625-2577

Ph: (847) 570-1700		Melinda Ellen Stack, MD
5140 N California Ave Ste 560,
Chicago, IL 60625-2577

Ph: (847) 570-1700

Reviews and Comments



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.