Mark Carless Stachel, MD is a medicare enrolled "Internal Medicine" physician in Malvern, Ohio. His current practice location is
170 W Mohawk Dr, Malvern, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 489-1477.
Mark Carless Stachel is licensed to practice in Ohio (license number 35060372) 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 1215930946.
Physician's Profile
Full Name | Mark Carless Stachel |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 170 W Mohawk Dr, Malvern, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215930946
- Provider Enumeration Date: 05/27/2005
- Last Update Date: 12/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 0648312843
- Enrollment ID: I20100127000199
Medical Identifiers
Medical identifiers for Mark Carless Stachel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215930946 | NPI | - | NPPES |
1001 | Other | | SUMMA CARE |
341684794 | Other | | TAX ID |
000000136651 | Other | | BCBS |
110050485 | Other | | RR MEDICARE |
0839874 | Medicaid | OH | |
34168479400 | Other | | WC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 35060372 (Ohio) | 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. Mark Carless Stachel 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 |
Mark Carless Stachel, MD 170 W Mohawk Dr, Malvern, OH 44644-9564 Ph: (330) 489-1477 | Mark Carless Stachel, MD 170 W Mohawk Dr, Malvern, OH 44644-9564 Ph: (330) 489-1477 |
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