Dr. Andrew Phillip Stack
MD | Pediatric Critical Care Medicine | Male
Dr. Andrew Phillip Stack, MD is a Savannah, Georgia based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Andrew Phillip Stack is
4700 Waters Ave, Savannah, Georgia - 31404-6220. He can be contacted on phone at
912-350-8180 and fax number 912-350-5697.
Dr. Andrew Phillip Stack is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Andrew Phillip Stack is
1902063407 which was assigned by NPPES on 21 May, 2008 and it was last updated on 19 Jan, 2022.
Dr. Andrew Phillip Stack license number is
071886 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Georgia.
Dr. Andrew Phillip Stack is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Andrew Phillip Stack basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Andrew Phillip Stack |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Andrew Phillip Stack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4700 Waters Ave
Savannah, GA, 31404-6220
United States |
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| Phone Number : | 912-350-8180 |
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| Fax Number : | 912-350-5697 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902063407 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 May, 2008 |
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| Last Updated On : | 19 Jan, 2022 |
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Medicare Participation:
Dr. Andrew Phillip Stack participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6406071471 |
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| Medicare Enrollment ID : | I20140707001803 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Jc Edwards School Of Medicine, Marshall University |
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| Graduation Year : | 2008 |
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| Accepts Medicare? | Yes. Dr. Andrew Phillip Stack accepts medicare insurance. |
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Group Practice Association:
Dr. Andrew Phillip Stack is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Andrew Phillip Stack is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Savannah Pediatric Care Llc | 8921353954 | 10 | 4700 Waters Ave
Savannah, GA - 314046220
Ph: 9123506543 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Andrew Phillip Stack are as mentioned. Primary taxonomy code for Dr. Andrew Phillip Stack, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 071886 | GA |
| 207L00000X | Anesthesiology | No | 071886 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Andrew Phillip Stack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003146322A | MEDICAID | GA | |
| P01335436 | Other | GA | RAILROAD MEDICARE |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | astack49890@epicsav.hcadirect.net
| No affiliation |
|
| 4700 WATERS AVE,
SAVANNAH, GA, 31404-6220
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4700 Waters Ave
Savannah, GA, 31404-6220
United States |
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| Phone Number : | 912-350-8180 |
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| Fax Number : | 912-350-5697 |
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Business Location:
Patients can refer following map for directions to
Dr. Andrew Phillip Stack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.