Mr Ilya O Stagner, FNP-C - Medicare Nurse Practitioner in Hiawatha, KS

Mr Ilya O Stagner, FNP-C is a medicare enrolled "Nurse Practitioner" in Hiawatha, Kansas. His current practice location is 300 Utah St, Hiawatha, Kansas. You can reach out to his office (for appointments etc.) via phone at (785) 742-6422.

Mr Ilya O Stagner is licensed to practice in Kansas (license number 80603) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083376750.

Contact Information

Mr Ilya O Stagner, FNP-C
300 Utah St,
Hiawatha, KS 66434-2314
(785) 742-6422
Not Available



Provider's Profile

Full NameMr Ilya O Stagner
GenderMale
SpecialityNurse Practitioner
Location300 Utah St, Hiawatha, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083376750
  • Provider Enumeration Date: 10/11/2021
  • Last Update Date: 10/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4082097928
  • Enrollment ID: I20220810001989

Medical Identifiers

Medical identifiers for Mr Ilya O Stagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083376750NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 80603 (Kansas)Primary

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 Ilya O Stagner allows following entities to bill medicare on his behalf.
Entity NameHiawatha Hospital Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952485161
PECOS PAC ID: 9032007364
Enrollment ID: O20040309000220

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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 Ilya O Stagner 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 Ilya O Stagner, FNP-C
611 Cherokee Ave,
Hiawatha, KS 66434-1608

Ph: (816) 351-2897
Mr Ilya O Stagner, FNP-C
300 Utah St,
Hiawatha, KS 66434-2314

Ph: (785) 742-6422

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Nurse Practitioner Nurses in Hiawatha, KS

Danielle A Jagels,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Utah St, 2nd Floor, Hiawatha, KS 66434
Phone: 785-742-2161    
Steven Henry Gunnells, CRNA, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Utah St, Hiawatha, KS 66434
Phone: 785-742-2131    Fax: 785-742-6588
Hollie Marie Williams, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1705 Oregon St, Hiawatha, KS 66434
Phone: 785-742-1705    
Arlene Renee Long, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 909 S 2nd St, Hiawatha, KS 66434
Phone: 785-742-7113    Fax: 785-742-3085
Mrs. Katie Lynn Kettler, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 300 Utah St, Hiawatha, KS 66434
Phone: 785-742-2131    Fax: 785-742-6504
Tiffani L Bradbury, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Utah St, Hiawatha, KS 66434
Phone: 785-742-2131    Fax: 785-742-6558

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