Nancy N Stark, RN, ANP, PMHNP, APNP in Oakland, CA

Nancy N Stark, RN, ANP, PMHNP, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Oakland, California. Her current practice location is 6333 Telegraph Ave, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 923-1099.

Nancy N Stark is licensed to practice in California (license number 10258) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659483071.

Contact Information

	Nancy N Stark, RN, ANP, PMHNP, APNP
	6333 Telegraph Ave, Oakland, CA 94609-1359
	(510) 923-1099
	Not Available

Map and Direction

Provider's Profile

Full Name	Nancy N Stark
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6333 Telegraph Ave, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659483071
Provider Enumeration Date: 08/31/2006
Last Update Date: 12/19/2018

Medicare PECOS Information:

PECOS PAC ID: 3375596711
Enrollment ID: I20050225000570

Medical Identifiers

Medical identifiers for Nancy N Stark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659483071	NPI	-	NPPES
35515	Other	CA	UCSF PROVIDER NUMBER
201102900B	Medicaid	KS
077834	Other	CA	SF DPH CHN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC1500X	Nurse Practitioner - Community Health	10258 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	10258 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10258 (California)	Primary
363L00000X	Nurse Practitioner	518409 (California)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	10258 (California)	Secondary
363L00000X	Nurse Practitioner	184455 (Massachusetts)	Secondary

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. Nancy N Stark allows following entities to bill medicare on her behalf.

Entity Name	County Of Alameda
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780716381 PECOS PAC ID: 9739070624 Enrollment ID: O20040323001169

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. Nancy N 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
Nancy N Stark, RN, ANP, PMHNP, APNP 720 Louisiana St, Lawrence, KS 66044-2338 Ph: (415) 290-2441	Nancy N Stark, RN, ANP, PMHNP, APNP 6333 Telegraph Ave, Oakland, CA 94609-1359 Ph: (510) 923-1099

Reviews and Comments

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Mr. Keith M. Thibault, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
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Nancy N Stark, RN, ANP, PMHNP, APNP - Medicare Nurse Practitioner in Oakland, CA