Dr Stephen Dale Bovenkerk, DO is a medicare enrolled "Otolaryngology" physician in Monroe, Georgia. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1760503171
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 09/27/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
|---|
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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