Mickey Dwight Stapp, DPM in Augusta, GA - Medicare Podiatry Provider

Mickey Dwight Stapp, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Augusta, Georgia. He went to Barry University School Of Podiatric Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Upperline Healthcare Pc and his current practice location is 1416 Wainbrook Dr, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 312-3668.

Mickey Dwight Stapp is licensed to practice in Georgia (license number POD000728) 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 1023114238.

Contact Information

	Mickey Dwight Stapp, DPM
	1416 Wainbrook Dr, Augusta, GA 30909-6289
	(706) 312-3668
	(706) 312-3670

Map and Direction

Healthcare Provider's Profile

Full Name	Mickey Dwight Stapp
Gender	Male
Speciality	Podiatry
Experience	32 Years
Location	1416 Wainbrook Dr, Augusta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mickey Dwight Stapp attended and graduated from Barry University School Of Podiatric Medicine in 1992

NPI Data:

NPI Number: 1023114238
Provider Enumeration Date: 09/15/2006
Last Update Date: 07/03/2019

Medicare PECOS Information:

PECOS PAC ID: 1951202621
Enrollment ID: I20040323000185

Medical Identifiers

Medical identifiers for Mickey Dwight Stapp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023114238	NPI	-	NPPES
000660635J	Medicaid	GA
575733	Other	GA	AETNA HMO
2700036	Other	GA	UNITED HEALTHCARE
480032189	Other	GA	RAILROAD MEDICARE
5106049	Other	GA	AETNA PPO
555655	Other	GA	BCBS OF GEORGIA
000660635H	Medicaid	GA
GDP728	Other	SC	SOUTH CAROLINA MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	POD000728 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Doctors Hospital	Augusta, GA	Hospital
University Hospital	Augusta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Upperline Healthcare Pc	4385900653	107

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. Mickey Dwight Stapp allows following entities to bill medicare on his behalf.

Provider Name	Augusta Foot & Ankle, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1619185352 PECOS PAC ID: 4981505658 Enrollment ID: O20040115000923

Provider Name	Upperline Healthcare Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538686498 PECOS PAC ID: 4385900653 Enrollment ID: O20211101002967

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. Mickey Dwight Stapp 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
Mickey Dwight Stapp, DPM 1416 Wainbrook Dr, Augusta, GA 30909-6289 Ph: (706) 312-3668	Mickey Dwight Stapp, DPM 1416 Wainbrook Dr, Augusta, GA 30909-6289 Ph: (706) 312-3668

Reviews and Comments

Podiatrist in Augusta, GA

Henry Greene Bryant Iii, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 2030 Walton Way, Augusta, GA 30904 Phone: 706-738-1925 Fax: 706-738-0705
Dr. James Austin Denmark, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2260 Wrightsboro Rd, Suite 154, Augusta, GA 30904 Phone: 706-364-0263
Augusta Center For Foot And Ankle Surgery Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1515 Laney Walker Blvd, Augusta, GA 30904 Phone: 706-724-9224 Fax: 706-724-4468
Fyne Foot Care Center Podiatrist Medicare: Medicare Enrolled Practice Location: 1710 Central Ave, Augusta, GA 30904 Phone: 706-373-4402
Christopher David Anna, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1416 Wainbrook Dr, Augusta, GA 30909 Phone: 706-312-3668 Fax: 706-312-3670
Upperline Healthcare, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1416 Wainbrook Drive, Augusta, GA 30909 Phone: 706-312-3668

Mickey Dwight Stapp, DPM - Medicare Podiatrist in Augusta, GA