Dr Stephen Dale Bovenkerk, DO is a medicare enrolled "Otolaryngology" physician in Monroe, Georgia. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2003 and has 21 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Piedmont Providers Llc and his current practice location is
2151 W Spring St Ste B120, Monroe, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 207-0215.
Dr Stephen Dale Bovenkerk is licensed to practice in Georgia (license number 82870) 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 1760503171.
Physician's Profile
| Full Name | Dr Stephen Dale Bovenkerk |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 21 Years |
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| Location | 2151 W Spring St Ste B120, Monroe, Georgia |
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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:
- Dr Stephen Dale Bovenkerk attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2003
NPI Data:
- NPI Number: 1760503171
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 09/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315010410
- Enrollment ID: I20190621000712
Medical Identifiers
Medical identifiers for Dr Stephen Dale Bovenkerk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760503171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 5101015878 (Michigan) | Secondary |
| 207Y00000X | Otolaryngology | 82870 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Piedmont Providers Llc | 9830082825 | 367 |
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 Stephen Dale Bovenkerk allows following entities to bill medicare on his behalf.
| Entity Name | Piedmont Providers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321 |
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| Entity Name | Milton Hall Surgical Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649238460
PECOS PAC ID: 6204722887
Enrollment ID: O20040223000652 |
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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 Stephen Dale Bovenkerk 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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Dr Stephen Dale Bovenkerk, DO
2680 S Cleveland Ave,
Saint Joseph, MI 49085-3002
Ph: (269) 982-3368 | Dr Stephen Dale Bovenkerk, DO
2151 W Spring St Ste B120,
Monroe, GA 30655-3210
Ph: (770) 207-0215 |
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