James Russell Keller Stackhouse is a Fernandina, Florida based male Ophthalmologist with 15 years of experience in Ophthalmology. He completed his graduation from Other in 2009. He is also affiliated with hospitals like Ed Fraser Memorial Hospital and Baptist Medical Center - Nassau. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of James Russell Keller Stackhouse is ME117902 for Ophthalmology in Florida. James Russell Keller Stackhouse is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
James Russell Keller Stackhouse speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
MD
Experience:
15+ years
Medical School Attended:
Other
Graduation Year:
2009
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
6 S 14th St, Fernandina, Florida, 32034
Phone:
904-261-5741
Fax:
904-261-7383
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.
PAC ID:
1254572928
Enrollment ID:
I20140807001990
NPI Number:
1750517710
NPI Enumeration Date:
04 Jun, 2009
NPI Last Update On:
29 Sep, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for James Russell Keller Stackhouse are as mentioned below.
License Number
Specialization
State
Status
ME117902
Ophthalmology
Florida
Primary
770778
Ophthalmology
Georgia
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Ed Fraser Memorial Hospital (100134)
Macclenny, FL
Acute Care Hospital
Baptist Medical Center - Nassau (100140)
Fernandina beach, FL
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which James Russell Keller Stackhouse has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Russell Stackhouse Md Pa (9133473325)
8
Russell Stackhouse Md Pa (9133473325)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with James Russell Keller Stackhouse such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100661200
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6 S 14th St, Fernandina Beach, Florida
Zip:
32034-3212
Phone Number:
904-261-5741
Fax Number:
904-261-7383
Patients can reach James Russell Keller Stackhouse at 6 S 14th St, Fernandina, Florida or can call to book an appointment on 904-261-5741. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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