Ira R Stark, DO | |
230 N Broad St, Philadelphia, PA 19102-1121 | |
(215) 762-1808 | |
(215) 762-4721 |
Full Name | Ira R Stark |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 47 Years |
Location | 230 N Broad St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710987854 | NPI | - | NPPES |
0371807 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | OS004175L (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The New Jersey Imaging Network, Llc | 2860633492 | 63 |
Entity Name | The New Jersey Imaging Network, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629327887 PECOS PAC ID: 2860633492 Enrollment ID: O20130724000791 |
Mailing Address | Practice Location Address |
---|---|
Ira R Stark, DO 1500 Market St, Philadelphia, PA 19102-2100 Ph: (215) 255-3828 | Ira R Stark, DO 230 N Broad St, Philadelphia, PA 19102-1121 Ph: (215) 762-1808 |
Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389 | |
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562 | |
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627 |