Look up the most recent NPI and PECOS records

Stella R. Staley

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as STELLA STALEY.

Based on the most recent information from CMS, provider Stella R. Staley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1639187941
Provider Type
Individual
Full Name
Staley, Stella R.
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/3/2006
Last Updated
9/26/2013

Contact Information

Practice Location

400 S 1st St, Louisville, KY 40202-1416

(502) 574-2273

(502) 574-7853

Mailing Location

143 Aishlins Ct, Richmond, KY 40475-7975

(859) 396-4874

(502) 574-7853

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 24651 Kentucky

Stella R. Staley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hassuneh, Hazar

Sensing, Zachery T

Young, Jared

Patel, Sahil

University Of Louisville Research Foundation

Zheng, Shengnan

Hamilton, Anna Gabrielle

Rainey, Sabrina Constance

University Of Louisville Physicians, Inc.

Gerlach, Dylan Nathanael