Mr Robert Stark, MA, PCI, MRAS in Salt Lake City, UT

Mr Robert Stark, MA, PCI, MRAS is a medicare enrolled "Counselor - Mental Health" provider in Salt Lake City, Utah. His current practice location is 4460 S Highland Dr Ste 210, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (888) 949-4864.

Mr Robert Stark is licensed to practice in Utah (license number 11425200-6004) 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 1215197405.

Contact Information

	Mr Robert Stark, MA, PCI, MRAS
	4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550
	(888) 949-4864
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Robert Stark
Gender	Male
Speciality	Counselor - Mental Health
Location	4460 S Highland Dr Ste 210, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215197405
Provider Enumeration Date: 06/11/2008
Last Update Date: 03/04/2020

Medicare PECOS Information:

PECOS PAC ID: 0244681906
Enrollment ID: I20240105004036

Medical Identifiers

Medical identifiers for Mr Robert Stark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215197405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	900 (California)	Secondary
101YM0800X	Counselor - Mental Health	11425200-6004 (Utah)	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 Robert Stark allows following entities to bill medicare on his behalf.

Entity Name	Wasatch Behavioral Health Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014

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 Robert Stark 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 Address	Practice Location Address
Mr Robert Stark, MA, PCI, MRAS 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 Ph: (888) 949-4864	Mr Robert Stark, MA, PCI, MRAS 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 Ph: (888) 949-4864

Reviews and Comments

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Mr Robert Stark, MA, PCI, MRAS - Medicare Counselor in Salt Lake City, UT