Dr Benjamin Fair Stork, DO, MPH is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Fort Huachuca, Arizona. His current practice location is
2240 Winrow Rd, Fort Huachuca, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 533-5574.
Dr Benjamin Fair Stork is licensed to practice in Indiana (license number 02004570A) 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 1295176626.
Physician's Profile
Full Name | Dr Benjamin Fair Stork |
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Gender | Male |
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Speciality | Preventive Medicine - Occupational Medicine |
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Location | 2240 Winrow Rd, Fort Huachuca, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295176626
- Provider Enumeration Date: 07/15/2013
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648638791
- Enrollment ID: I20230621002667
Medical Identifiers
Medical identifiers for Dr Benjamin Fair Stork such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295176626 | NPI | - | NPPES |
02004570A | Other | IN | MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083X0100X | Preventive Medicine - Occupational Medicine | 02004570A (Indiana) | Primary |
2083A0100X | Preventive Medicine - Aerospace Medicine | 02004570A (Indiana) | Secondary |
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. Dr Benjamin Fair Stork 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 |
Dr Benjamin Fair Stork, DO, MPH 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 Ph: (520) 533-5574 | Dr Benjamin Fair Stork, DO, MPH 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 Ph: (520) 533-5574 |
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