Bradly Wade Starks, DO is a medicare enrolled "Family Medicine" physician in Elizabethville, Pennsylvania. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Family Practice Center Pc and his current practice location is
282 W Main St, Elizabethville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 362-3371.
Bradly Wade Starks is licensed to practice in Pennsylvania (license number OS013947) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700086741.
Physician's Profile
| Full Name | Bradly Wade Starks |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 19 Years |
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| Location | 282 W Main St, Elizabethville, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bradly Wade Starks attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2005
NPI Data:
- NPI Number: 1700086741
- Provider Enumeration Date: 07/18/2007
- Last Update Date: 01/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 2365500923
- Enrollment ID: I20081027000054
Medical Identifiers
Medical identifiers for Bradly Wade Starks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700086741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OS013947 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Family Practice Center Pc | 0244124212 | 280 |
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. Bradly Wade Starks allows following entities to bill medicare on his behalf.
| Entity Name | Family Practice Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154376937
PECOS PAC ID: 0244124212
Enrollment ID: O20040211000012 |
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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. Bradly Wade Starks 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 |
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Bradly Wade Starks, DO
7 Dock Hill Rd,
Middleburg, PA 17842-8910
Ph: (570) 837-2123 | Bradly Wade Starks, DO
282 W Main St,
Elizabethville, PA 17023-8827
Ph: (717) 362-3371 |
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