| Steven Joseph Stack, MD | |
|
150 N Eagle Creek Dr, St. Joseph Hospital East, Lexington, KY 40509-1805 | |
| (859) 967-5649 | |
| Not Available |
| Full Name | Steven Joseph Stack |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 150 N Eagle Creek Dr, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306893631 | NPI | - | NPPES |
| 000000492119 | Other | KY | BCBS |
| 4007244 | Other | TN | BCBS |
| 64131204 | Medicaid | KY | |
| 3863430 | Medicaid | TN | |
| 00124499 | Medicaid | MS | |
| 16108601 | Medicaid | AR | |
| P00347535 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35076970S (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | 34619 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | 39966 (Kentucky) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Acs Primary Care Physicians-midwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609811413 PECOS PAC ID: 3173435229 Enrollment ID: O20050816000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Joseph Stack, MD Po Box 633815, Cincinnati, OH 45263-0001 Ph: () - | Steven Joseph Stack, MD 150 N Eagle Creek Dr, St. Joseph Hospital East, Lexington, KY 40509-1805 Ph: (859) 967-5649 |
Allison Woodall, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: University Of Kentucky And Affiliates, 800 Rose St., Lexington, KY 40536 Phone: 859-323-5871 | |
Dr. Hollis R Hilty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1740 Nicholasville Road, Lexington, KY 40503 Phone: 859-260-6180 Fax: 859-260-6693 | |
James Byron Moore Ii, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3205 Summit Square Pl Ste 100, Lexington, KY 40509 Phone: 859-335-9041 Fax: 859-335-9072 | |
Dr. Matthew Stewart Dawson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 230 W Main St, Lexington, KY 40507 Phone: 859-309-4839 | |
Dr. Jeremiah Phelps, MD PHD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: University Of Kentucky, 800 Rose St, Lexington, KY 40536 Phone: 859-323-6762 | |
Rebecca C Bowers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5901 | |
Stephen Zachary Harrett, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Rose St Rm M-53, Lexington, KY 40536 Phone: 859-323-5083 |