Mr Stanley Fudala, MD - Medicare Psychiatry in Fort Atkinson, WI

Mr Stanley Fudala, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fort Atkinson, Wisconsin. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Fort Healthcare Inc and his current practice location is 500 Mcmillen Street, Fort Atkinson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (950) 563-5571.

Mr Stanley Fudala is licensed to practice in Wisconsin (license number 41002-20) 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 1356317184.

Contact Information

Mr Stanley Fudala, MD
500 Mcmillen Street,
Fort Atkinson, WI 53538-1263
(950) 563-5571
(920) 563-4228



Physician's Profile

Full NameMr Stanley Fudala
GenderMale
SpecialityPsychiatry
Experience32 Years
Location500 Mcmillen Street, Fort Atkinson, Wisconsin
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:
  • Mr Stanley Fudala graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1356317184
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991789075
  • Enrollment ID: I20040616000411

Medical Identifiers

Medical identifiers for Mr Stanley Fudala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356317184NPI-NPPES
34449000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 41002-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fort Memorial HospitalFort atkinson, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fort Healthcare Inc0840189718130

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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. Mr Stanley Fudala allows following entities to bill medicare on his behalf.
Entity NameFort Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417993361
PECOS PAC ID: 0840189718
Enrollment ID: O20040319001411

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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. Mr Stanley Fudala 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
Mr Stanley Fudala, MD
500 Mcmillen St, Fort Healthcare,
Fort Atkinson, WI 53538-1233

Ph: (920) 563-5571
Mr Stanley Fudala, MD
500 Mcmillen Street,
Fort Atkinson, WI 53538-1263

Ph: (950) 563-5571

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Psychiatry & Neurology Doctors in Fort Atkinson, WI

Dr. Thomas Russell Perry, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538
Phone: 920-568-5334    

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