Joanna D Stark, MD in Campbell, CA - Medicare Obstetrics & Gynecology

Joanna D Stark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Campbell, California. Her current practice location is 220 E Hacienda Ave, Campbell, California. You can reach out to her office (for appointments etc.) via phone at (408) 236-6400.

Joanna D Stark is licensed to practice in California (license number A71561) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760569602.

Contact Information

	Joanna D Stark, MD
	220 E Hacienda Ave, Campbell, CA 95008-6617
	(408) 236-6400
	Not Available

Map and Direction

Physician's Profile

Full Name	Joanna D Stark
Gender	Female
Speciality	Obstetrics & Gynecology
Location	220 E Hacienda Ave, Campbell, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760569602
Provider Enumeration Date: 10/31/2006
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 9739159666
Enrollment ID: I20040728001293

Medical Identifiers

Medical identifiers for Joanna D Stark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760569602	NPI	-	NPPES
00A715610	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	A71561 (California)	Primary

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. Joanna D Stark allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Joanna D Stark 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
Joanna D Stark, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Joanna D Stark, MD 220 E Hacienda Ave, Campbell, CA 95008-6617 Ph: (408) 236-6400

Reviews and Comments

Obstetrics & Gynecology Doctors in Campbell, CA

Jennifer L Ragazzo, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 220 E Hacienda Ave, Campbell, CA 95008 Phone: 408-871-6419
C Andrew Combs, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 900 E Hamilton Ave, Obstetrix, Campbell, CA 95008 Phone: 408-371-7111 Fax: 408-371-8111
Dr. Mary Margaret Oneill, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 W Campbell Ave, Campbell, CA 95008 Phone: 408-583-0522 Fax: 408-583-0527
Suzanne Bovone, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 900 E. Hamilton Avenue, Suite 220, Campbell, CA 95008 Phone: 408-516-0300 Fax: 408-608-6135
Nadine E Graven, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 476 E Campbell Avenue, Campbell, CA 95008 Phone: 408-378-1888 Fax: 408-378-5830
Cheryl L. Bader, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 220 E Hacienda Ave, Campbell, CA 95008 Phone: 408-236-6400
Kae D. Bendixen, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 220 E Hacienda Ave, Campbell, CA 95008 Phone: 408-236-6400

Joanna D Stark, MD - Medicare Obstetrics & Gynecology in Campbell, CA