Mariah Stump, MD is a medicare enrolled "Internal Medicine" provider in Providence, Rhode Island. She went to University Of Vermont College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Lifespan Physician Group Inc, The Miriam Hospital and her current practice location is
146 W River St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 793-5700.
Mariah Stump is licensed to practice in Rhode Island (license number MD14956) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841550738.
Healthcare Provider's Profile
| Full Name | Mariah Stump |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 12 Years |
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| Location | 146 W River St, Providence, Rhode Island |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mariah Stump attended and graduated from University Of Vermont College Of Medicine in 2012
NPI Data:
- NPI Number: 1841550738
- Provider Enumeration Date: 05/24/2012
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 3476770991
- Enrollment ID: I20150630000199
Medical Identifiers
Medical identifiers for Mariah Stump such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841550738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | MD14956 (Rhode Island) | Secondary |
| 207R00000X | Internal Medicine | MD14956 (Rhode Island) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lifespan Physician Group Inc | 2567455082 | 631 |
| The Miriam Hospital | 6901796408 | 186 |
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. Mariah Stump allows following entities to bill medicare on her behalf.
| Provider Name | The Miriam Hospital |
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| Provider Type | Part B Supplier - Hospital Department(s) |
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| Provider Identifiers | NPI Number: 1164716031
PECOS PAC ID: 6901796408
Enrollment ID: O20110928000027 |
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| Provider Name | Lifespan Physician Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368 |
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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. Mariah Stump 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 |
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Mariah Stump, MD
146 W River St,
Providence, RI 02904-2609
Ph: (401) 793-5700 | Mariah Stump, MD
146 W River St,
Providence, RI 02904-2609
Ph: (401) 793-5700 |
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