Dr Mark Kerry Stephens, MD is a medicare enrolled "Emergency Medicine" physician in Cross Lanes, West Virginia. His current practice location is
130 Goff Mountain Rd, Cross Lanes, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 388-7070.
Dr Mark Kerry Stephens is licensed to practice in West Virginia (license number 14020) 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 1568426591.
Physician's Profile
| Full Name | Dr Mark Kerry Stephens |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 130 Goff Mountain Rd, Cross Lanes, West Virginia |
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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: 1568426591
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 10/26/2017
Medicare PECOS Information:
- PECOS PAC ID: 6800876996
- Enrollment ID: I20040720001652
Medical Identifiers
Medical identifiers for Dr Mark Kerry Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568426591 | NPI | - | NPPES |
| 930063432 | Other | | RAILROAD MEDICARE |
| 0070668000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 14020 (West Virginia) | Secondary |
| 207P00000X | Emergency Medicine | 14020 (West Virginia) | 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 Mark Kerry Stephens allows following entities to bill medicare on his behalf.
| Entity Name | Charleston Area Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426 |
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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. Dr Mark Kerry Stephens 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 Mark Kerry Stephens, MD
314 Goff Mountain Rd, Ste 3,
Cross Lanes, WV 25313-6600
Ph: (304) 388-7782 | Dr Mark Kerry Stephens, MD
130 Goff Mountain Rd,
Cross Lanes, WV 25313-1419
Ph: (304) 388-7070 |
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