Ronald S Stumbris, MD is a medicare enrolled "General Practice" physician in Palos Heights, Illinois. His current practice location is
11950 S Harlem Ave, Suite 101, Palos Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 448-9450.
Ronald S Stumbris is licensed to practice in Illinois (license number 036-088148) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891858346.
Physician's Profile
| Full Name | Ronald S Stumbris |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 11950 S Harlem Ave, Palos Heights, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891858346
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 03/07/2012
Medicare PECOS Information:
- PECOS PAC ID: 0446436299
- Enrollment ID: I20110512000630
Medical Identifiers
Medical identifiers for Ronald S Stumbris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891858346 | NPI | - | NPPES |
| 01633957 | Other | IL | BCBS PROVIDER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 036-088148 (Illinois) | Primary |
| 207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | 036-088148 (Illinois) | Secondary |
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. Ronald S Stumbris allows following entities to bill medicare on his behalf.
| Entity Name | Peak Performance Health Center Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497766257
PECOS PAC ID: 5698721884
Enrollment ID: O20050330001136 |
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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. Ronald S Stumbris 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 |
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Ronald S Stumbris, MD
12103 S 69th Ave,
Palos Heights, IL 60463-1621
Ph: (708) 448-0870 | Ronald S Stumbris, MD
11950 S Harlem Ave, Suite 101,
Palos Heights, IL 60463-1150
Ph: (708) 448-9450 |
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