Stephen J Bazzano, DO is a medicare enrolled "Family Medicine" physician in Galena, Kansas. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 1970 and has 54 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Clinic Joplin Llc and his current practice location is
111 E 7th St, Galena, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 783-1358.
Stephen J Bazzano is licensed to practice in Kansas (license number 14599) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063423150.
Physician's Profile
| Full Name | Stephen J Bazzano |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 54 Years |
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| Location | 111 E 7th St, Galena, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stephen J Bazzano attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 1970
NPI Data:
- NPI Number: 1063423150
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 08/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 4486741600
- Enrollment ID: I20100104000602
Medical Identifiers
Medical identifiers for Stephen J Bazzano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063423150 | NPI | - | NPPES |
| 100098210A | Medicaid | KS | |
| 240387613 | Medicaid | MO | |
| 080075003 | Other | KS | PALMETTO GBA RAILROAD MCR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 32305 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 14599 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mercy Clinic Joplin Llc | 0547300196 | 240 |
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. Stephen J Bazzano allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Clinic Joplin Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043547474
PECOS PAC ID: 0547300196
Enrollment ID: O20091214000066 |
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| Entity Name | Mercy Hospital Columbus |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619203452
PECOS PAC ID: 4880735919
Enrollment ID: O20100116000185 |
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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. Stephen J Bazzano 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 |
|---|
Stephen J Bazzano, DO
Po Box 277, 111 E 7th St,
Galena, KS 66739
Ph: (620) 783-1358 | Stephen J Bazzano, DO
111 E 7th St,
Galena, KS 66739-1229
Ph: (620) 783-1358 |
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