Stephen Michael Bush, MD is a
Surgery physician based in Kennett, Missouri. Stephen Michael Bush is licensed to practice in Missouri (license number 2000158294) and his current practice location is 509 South Byp, Kennett, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 888-0555.
NPI number for Stephen Michael Bush is 1023002573 and his current mailing address is Po Box 405454, Atlanta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023002573.
Physician's Profile
| Full Name | Stephen Michael Bush |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 509 South Byp, Kennett, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023002573
- Provider Enumeration Date: 09/09/2005
- Last Update Date: 07/23/2014
Medical Identifiers
Medical identifiers for Stephen Michael Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023002573 | NPI | - | NPPES |
| 205015506 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 2000158294 (Missouri) | 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. Stephen Michael Bush 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 |
|---|
Stephen Michael Bush, MD
Po Box 405454,
Atlanta, GA 30384-5454
Ph: (573) 888-0555 | Stephen Michael Bush, MD
509 South Byp,
Kennett, MO 63857-3248
Ph: (573) 888-0555 |
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