Jill Stark, DPM is a
Podiatrist based in Boothbay, Maine. Jill Stark is licensed to practice in New York (license number 006857) and her current practice location is
104 Pension Ridge Rd, Boothbay, Maine. She can be reached at her office (for appointments etc.) via phone at
(201) 294-5672.
NPI number for Jill Stark is 1336816917 and her current mailing address is 104 Pension Ridge Rd, Boothbay, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336816917.
Healthcare Provider's Profile
Full Name | Jill Stark |
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Gender | Female |
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Speciality | Podiatrist |
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Location | 104 Pension Ridge Rd, Boothbay, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336816917
- Provider Enumeration Date: 08/23/2021
- Last Update Date: 08/23/2021
Medical Identifiers
Medical identifiers for Jill Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336816917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 006857 (New York) | 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. Jill Stark 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 |
Jill Stark, DPM 104 Pension Ridge Rd, Boothbay, ME 04537-4810 Ph: (201) 294-5672 | Jill Stark, DPM 104 Pension Ridge Rd, Boothbay, ME 04537-4810 Ph: (201) 294-5672 |
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