| Phillip L Stall, MD | |
|
10 Tower Dr, Sun Prairie, WI 53590-1239 | |
| (608) 825-3500 | |
| (608) 825-3793 |
| Full Name | Phillip L Stall |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 10 Years |
| Location | 10 Tower Dr, Sun Prairie, Wisconsin |
| 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 |
|---|---|---|---|
| 1336529932 | NPI | - | NPPES |
| 1336529932 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 73247-20 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dean Health Systems Inc | 7012827983 | 1099 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip L Stall, MD 10 Tower Dr, Sun Prairie, WI 53590-1239 Ph: (608) 825-3500 | Phillip L Stall, MD 10 Tower Dr, Sun Prairie, WI 53590-1239 Ph: (608) 825-3500 |
Dr. Adebowale Mofikoya, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 425 W Main St Ste 201, Sun Prairie, WI 53590 Phone: 608-318-2233 | |
Travis Ryan Kooima, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1714 Fair Pheasant Way, Sun Prairie, WI 53590 Phone: 712-470-6699 | |
Mihaela Pirau, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10 Tower Dr, Dean Medical Center, Sun Prairie, WI 53590 Phone: 608-825-3008 Fax: 608-825-3794 |