Paul B Stauder is a medicare enrolled "Optometrist" provider in Fairfield, Illinois. Their current practice location is
101 E Delaware St Ste C, Fairfield, Illinois. You can reach out to their office (for appointments etc.) via phone at
(618) 842-6516.
Paul B Stauder is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Paul B Stauder
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1902627979.
Healthcare Provider's Profile
Full Name | Paul B Stauder |
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Type | Facility |
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Speciality | Optometrist |
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Location | 101 E Delaware St Ste C, Fairfield, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902627979
- Provider Enumeration Date: 10/22/2024
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810018314
- Enrollment ID: O20100930009527
Medical Identifiers
Medical identifiers for Paul B Stauder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902627979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
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. Paul B Stauder 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 |
Paul B Stauder Po Box 506, Fairfield, IL 62837-0506 Ph: (618) 842-6516 | Paul B Stauder 101 E Delaware St Ste C, Fairfield, IL 62837-2171 Ph: (618) 842-6516 |
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