Dr David Daniel Stark, MD is a medicare enrolled "Internal Medicine" physician in Montauk, New York. His current practice location is
19 Homeward Ln, Montauk, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 969-9096.
Dr David Daniel Stark is licensed to practice in New York (license number 219922) 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 1194847665.
Physician's Profile
| Full Name | Dr David Daniel Stark |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 19 Homeward Ln, Montauk, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194847665
- Provider Enumeration Date: 04/04/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931158094
- Enrollment ID: I20180227000976
Medical Identifiers
Medical identifiers for Dr David Daniel Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194847665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 52224 (Massachusetts) | Secondary |
| 207R00000X | Internal Medicine | 219922 (New York) | Primary |
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 David Daniel 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 |
|---|
Dr David Daniel Stark, MD
209 E Dilido Dr,
Miami Beach, FL 33139-1229
Ph: (212) 969-9096 | Dr David Daniel Stark, MD
19 Homeward Ln,
Montauk, NY 11954-5295
Ph: (212) 969-9096 |
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