Daniel Jay Stackhouse, MD - Medicare Diagnostic Radiology in Charlotte, NC

Daniel Jay Stackhouse, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Charlotte, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Charlotte Radiology Pa, Charlotte Radiology Pa and his current practice location is 700 E Morehead St, Ste 300, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 334-7800.

Daniel Jay Stackhouse is licensed to practice in North Carolina (license number 9401497) 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 1821053935.

Contact Information

Daniel Jay Stackhouse, MD
700 E Morehead St, Ste 300,
Charlotte, NC 28202-2788
(704) 334-7800
Not Available



Physician's Profile

Full NameDaniel Jay Stackhouse
GenderMale
SpecialityDiagnostic Radiology
Experience36 Years
Location700 E Morehead St, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Daniel Jay Stackhouse attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1821053935
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 12/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6608889233
  • Enrollment ID: I20060727000430

Medical Identifiers

Medical identifiers for Daniel Jay Stackhouse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821053935NPI-NPPES
8979113MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 20869 (South Carolina)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 20869 (South Carolina)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 9401497 (North Carolina)Secondary
2085R0202XRadiology - Diagnostic Radiology 9401497 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center-northeastConcord, NCHospital
Carolinas Medical Center/behav HealthCharlotte, NCHospital
Carolinas Medical Center-pinevilleCharlotte, NCHospital
Atrium Health UnionMonroe, NCHospital
Atrium Health ClevelandShelby, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Charlotte Radiology Pa4587577390149
Charlotte Radiology Pa4587577390149

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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. Daniel Jay Stackhouse allows following entities to bill medicare on his behalf.
Entity NameCharlotte Radiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649220443
PECOS PAC ID: 4587577390
Enrollment ID: O20031107000484

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Entity NameBlue Ridge Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467993931
PECOS PAC ID: 9436159712
Enrollment ID: O20070110000601

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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. Daniel Jay Stackhouse 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 AddressPractice Location Address
Daniel Jay Stackhouse, MD
700 E Morehead St, Ste 300,
Charlotte, NC 28202-2788

Ph: (704) 334-7800
Daniel Jay Stackhouse, MD
700 E Morehead St, Ste 300,
Charlotte, NC 28202-2788

Ph: (704) 334-7800

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Radiology Doctors in Charlotte, NC

Whitney Feltus, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211
Phone: 980-208-1704    Fax: 704-926-1832
Edward Barnwell Black, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1705 East Blvd, Charlotte, NC 28203
Phone: 704-909-5960    Fax: 704-770-0501
Thaddeus Drexel Houston, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1701 East Blvd, Charlotte, NC 28203
Phone: 704-334-7800    Fax: 704-414-7512
Matthew James Locker, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211
Phone: 704-332-1291    Fax: 704-926-1832
Kelli A. Reardon, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Queens Rd, Charlotte, NC 28204
Phone: 434-982-0777    Fax: 434-982-0792
Mr. Andrew Joseph Bojanowski, PA-C
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211
Phone: 704-332-1291    
Dr. John William Black, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211
Phone: 704-332-1291    Fax: 704-332-5206

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