Dr John Ewing Stively Iii, JOHN STIVELY - Medicare Family Medicine in Fairhaven, MA

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Dr John Ewing Stively Iii, JOHN STIVELY is a medicare enrolled "Family Medicine" physician in Fairhaven, Massachusetts. His current practice location is 200 Mill Rd, Fairhaven, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 999-1100.

Dr John Ewing Stively Iii is licensed to practice in Massachusetts (license number 59251) 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 1396779781.

Contact Information

Dr John Ewing Stively Iii, JOHN STIVELY
200 Mill Rd,
Fairhaven, MA 02719-5252
(508) 999-1100
Not Available

Map and Direction




Physician's Profile

Full NameDr John Ewing Stively Iii
GenderMale
SpecialityFamily Medicine
Location200 Mill Rd, Fairhaven, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396779781
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 09/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0244284776
  • Enrollment ID: I20050308000965

Medical Identifiers

Medical identifiers for Dr John Ewing Stively Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396779781NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 59251 (Massachusetts)Secondary
207Q00000XFamily Medicine 59251 (Massachusetts)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. Dr John Ewing Stively Iii allows following entities to bill medicare on his behalf.
Entity NameCarecentral Urgent Care Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922385319
PECOS PAC ID: 5496907099
Enrollment ID: O20121205000544
Entity NameNuch Of Massachusetts, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073995700
PECOS PAC ID: 9830488741
Enrollment ID: O20160517000690
Entity NamePremier Healthcare Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174089163
PECOS PAC ID: 9931442381
Enrollment ID: O20190528001748

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 John Ewing Stively Iii 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 AddressPractice Location Address
Dr John Ewing Stively Iii, JOHN STIVELY
57 Barnes St,
Providence, RI 02906-1501

Ph: (401) 439-4950		Dr John Ewing Stively Iii, JOHN STIVELY
200 Mill Rd,
Fairhaven, MA 02719-5252

Ph: (508) 999-1100

Reviews and Comments


Family Medicine Doctors in Fairhaven, MA

Dr. Valentina Dacunha, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 208 Mill Rd, Fairhaven, MA 02719
Phone: 508-996-1800    Fax: 508-992-7906
Dr. Joseph A Costa, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 208 Mill Rd, Fairhaven, MA 02719
Phone: 508-758-3781    Fax: 508-758-4455
Jaimie L. Reed, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 208 Mill Rd, Fairhaven, MA 02719
Phone: 508-758-3781    Fax: 508-758-4455
Dr. Drew L Nahigyan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 208 Mill Rd, Fairhaven, MA 02719
Phone: 508-758-3781    Fax: 508-758-4455
Sandra Diane Johnson, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 208 Mill Road, Fairhaven, MA 02719
Phone: 508-973-2432    Fax: 508-973-2435

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.