Brian Alan Stark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Halethorpe, Maryland. His current practice location is
5604 Friendship Rd, Halethorpe, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 242-8728.
Brian Alan Stark is licensed to practice in Maryland (license number R083302) 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 1093745093.
Provider's Profile
Full Name | Brian Alan Stark |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 5604 Friendship Rd, Halethorpe, Maryland |
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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: 1093745093
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 10/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 1759376353
- Enrollment ID: I20040414001707
Medical Identifiers
Medical identifiers for Brian Alan Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093745093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | R083302 (Maryland) | 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. Brian Alan Stark allows following entities to bill medicare on his behalf.
Entity Name | Stark Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417187089 PECOS PAC ID: 4385801877 Enrollment ID: O20120213000043 |
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Entity Name | Lifebridge Community Gastroenterology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033558416 PECOS PAC ID: 7618108119 Enrollment ID: O20140326001773 |
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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. Brian Alan 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 |
Brian Alan Stark, CRNA 5604 Friendship Rd, Halethorpe, MD 21227 Ph: (410) 242-8728 | Brian Alan Stark, CRNA 5604 Friendship Rd, Halethorpe, MD 21227 Ph: (410) 242-8728 |
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