Richard Brian Stall Jr, CAA is a medicare enrolled "Anesthesiology" in Indianapolis, Indiana. He went to Nova Southeastern College Of Osteo Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Rutland Hospital, Inc., Iu Health Medical Group Llc, American Anesthesiology Of North Carolina Pllc 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 | 10 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. |
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Medical Education and Training:
- Richard Brian Stall Jr attended and graduated from Nova Southeastern College Of Osteo Medicine 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: I20220413001247
Medical Identifiers
Medical identifiers for Richard Brian Stall Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487102356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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 |
|---|
| Rutland Hospital, Inc. | 7214846377 | 186 |
| Iu Health Medical Group Llc | 9638617913 | 4320 |
| American Anesthesiology Of North Carolina Pllc | 2961316450 | 324 |
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 | Rutland Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295799047
PECOS PAC ID: 7214846377
Enrollment ID: O20040913000144 |
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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 |
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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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