Dr Stephen Michael Bane, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Woodbridge, Virginia. His current practice location is
2280 Opitz Blvd, Suite 340, Woodbridge, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 878-0777.
Dr Stephen Michael Bane is licensed to practice in Virginia (license number 0101055871) 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 1528046349.
Physician's Profile
| Full Name | Dr Stephen Michael Bane |
|---|
| Gender | Male |
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| Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
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| Location | 2280 Opitz Blvd, Woodbridge, 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: 1528046349
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 03/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 5395701890
- Enrollment ID: I20100920000579
Medical Identifiers
Medical identifiers for Dr Stephen Michael Bane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528046349 | NPI | - | NPPES |
| 6500226 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 0101055871 (Virginia) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 0101055871 (Virginia) | 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 Michael Bane 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 Michael Bane, MD
207 Jefferson St,
Alexandria, VA 22314-4323
Ph: (703) 878-0777 | Dr Stephen Michael Bane, MD
2280 Opitz Blvd, Suite 340,
Woodbridge, VA 22191-3362
Ph: (703) 878-0777 |
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