Matthew T Stark, PA-C - Medicare Physician Assistant in Roseburg, OR

Matthew T Stark, PA-C is a medicare enrolled "Physician Assistant - Medical" in Roseburg, Oregon. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Centennial Medical Group East Llc and his current practice location is 1937 W Harvard Ave, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 677-7200.

Matthew T Stark is licensed to practice in Oregon (license number ) 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 1174700934.

Contact Information

Matthew T Stark, PA-C
1937 W Harvard Ave,
Roseburg, OR 97471-2720
(541) 677-7200
(541) 229-3309

Map and Direction




Provider's Profile

Full NameMatthew T Stark
GenderMale
SpecialityPhysician Assistant
Experience15 Years
Location1937 W Harvard Ave, Roseburg, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew T Stark graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1174700934
  • Provider Enumeration Date: 01/23/2008
  • Last Update Date: 06/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1557515368
  • Enrollment ID: I20130201000470

Medical Identifiers

Medical identifiers for Matthew T Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174700934NPI-NPPES
500652217MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterRoseburg, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centennial Medical Group East Llc923439787855

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. Matthew T 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 AddressPractice Location Address
Matthew T Stark, PA-C
2570 Nw Edenbower Blvd Ste 100,
Roseburg, OR 97471-6214

Ph: (541) 677-7200
Matthew T Stark, PA-C
1937 W Harvard Ave,
Roseburg, OR 97471-2720

Ph: (541) 677-7200

Reviews and Comments


Physician Assistant Nurses in Roseburg, OR

Kiersten Sperry,
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Medicare: Medicare Enrolled
Practice Location: 1813 W Harvard Ave Ste 310, Roseburg, OR 97471
Phone: 541-672-7546    
Amanda Garner, PA
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Medicare: Accepting Medicare Assignments
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Phone: 541-672-4798    
Jennifer Ann Brough Wilson, PA
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Medicare: Medicare Enrolled
Practice Location: 2440 Nw Edenbower Blvd, Roseburg, OR 97471
Phone: 541-957-1141    Fax: 541-957-1466
Scott O Goebel, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471
Phone: 541-677-7200    Fax: 541-229-3309

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.