Jane M Stark, MD is a
Preventive Medicine - Occupational Medicine physician based in Sheboygan, Wisconsin. Jane M Stark is licensed to practice in Wisconsin (license number 30562-20) and her current practice location is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 457-4461.
NPI number for Jane M Stark is 1780785253 and her current mailing address is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780785253.
Physician's Profile
Full Name | Jane M Stark |
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Gender | Female |
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Speciality | Preventive Medicine - Occupational Medicine |
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Location | 2414 Kohler Memorial Dr, Sheboygan, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780785253
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 11/24/2021
Medical Identifiers
Medical identifiers for Jane M Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780785253 | NPI | - | NPPES |
1780785253 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 30562 (Wisconsin) | Secondary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 30562-20 (Wisconsin) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 30562-20 (Wisconsin) | 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. Jane M Stark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jane M Stark, MD 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 457-4461 | Jane M Stark, MD 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 457-4461 |
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