| Samantha Jo Stiff, MD | |
|
102 S Hennepin Ave, Dixon, IL 61021-3013 | |
| (815) 285-8520 | |
| (815) 285-8903 |
| Full Name | Samantha Jo Stiff |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 102 S Hennepin Ave, Dixon, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437687027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125070548 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Medical Group Inc | 1052223625 | 224 |
| Aspirus Wausau Hospital Inc | 6406757442 | 177 |
| Entity Name | Aspirus Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Entity Name | Aspirus Wausau Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
| Entity Name | Aspirus Riverview Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Jo Stiff, MD 102 S Hennepin Ave, Dixon, IL 61021-3013 Ph: (815) 285-8520 | Samantha Jo Stiff, MD 102 S Hennepin Ave, Dixon, IL 61021-3013 Ph: (815) 285-8520 |
Maitri Mehta, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Kirk Anthony Stewart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8520 | |
Joyce Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Jaclyn Pranita Parayao, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Tyler Walsh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Dr. James Francis Gallant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5552 Fax: 815-285-5865 | |
Dr. Kristine P Pultorak, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-288-5561 Fax: 815-285-5859 |