Richard Brian Stall Jr, CAA is a medicare enrolled "Anesthesiology" in Indianapolis, Indiana. He graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Iu Health Medical Group Llc, Rutland Hospital, Inc. and his current practice location is
1701 N Senate Blvd, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 962-8880.
Richard Brian Stall Jr is licensed to practice in Indiana (license number 75000005A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487102356.
Provider's Profile
| Full Name | Richard Brian Stall Jr |
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| Gender | Male |
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| Speciality | Anesthesiology Assistant |
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| Experience | 9 Years |
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| Location | 1701 N Senate Blvd, Indianapolis, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Richard Brian Stall Jr graduated from nursing school in 2016
NPI Data:
- NPI Number: 1487102356
- Provider Enumeration Date: 09/20/2016
- Last Update Date: 02/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 1052693843
- Enrollment ID: I20170201000256
Medical Identifiers
Medical identifiers for Richard Brian Stall Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487102356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367H00000X | Anesthesiologist Assistant | 75000005A (Indiana) | Secondary |
| 207L00000X | Anesthesiology | 75000005A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Iu Health Medical Group Llc | 9638617913 | 1024 |
| Rutland Hospital, Inc. | 7214846377 | 169 |
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. Richard Brian Stall Jr allows following entities to bill medicare on his behalf.
| Entity Name | One Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174513246 PECOS PAC ID: 7113816174 Enrollment ID: O20140204000105 |
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| Entity Name | Iu Health Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
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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. Richard Brian Stall Jr 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 |
Richard Brian Stall Jr, CAA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Richard Brian Stall Jr, CAA 1701 N Senate Blvd, Indianapolis, IN 46202-1239 Ph: (317) 962-8880 |
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