Dr Michele Debra Stark, DMD is a medicare enrolled "Dentist - General Practice" provider in Worden, Illinois. Her current practice location is 
224 E Wall St, Worden, Illinois. You can reach out to her office (for appointments etc.) via phone at 
(618) 459-3626.
Dr Michele Debra Stark is licensed to practice in Illinois (license number ) 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 1942429048.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Michele Debra Stark | 
|---|
| Gender | Female | 
|---|
| Speciality | Dentist - General Practice | 
|---|
| Location | 224 E Wall St, Worden, Illinois | 
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1942429048
 - Provider Enumeration Date: 04/25/2007
 - Last Update Date: 07/08/2007
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 5991003170
 - Enrollment ID: I20160421001293
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Michele Debra Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1942429048 | NPI | - | NPPES | 
| 1003853 | Medicaid | IL |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1223G0001X | Dentist - General Practice  |  (Illinois) | 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. Dr Michele Debra 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 | 
		Dr Michele Debra Stark, DMD 224 E Wall St, Worden, IL 62097-1306 Ph: (618) 459-3626 | Dr Michele Debra Stark, DMD 224 E Wall St, Worden, IL 62097-1306 Ph: (618) 459-3626 | 
		
		 
Reviews and Comments