Christopher Jon Stark, in Pueblo, CO - Medicare Internal Medicine

Christopher Jon Stark, is a medicare enrolled "Internal Medicine" physician in Pueblo, Colorado. His current practice location is 400 W 16th St, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 595-2218.

Christopher Jon Stark is licensed to practice in Colorado (license number DR.0058428) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013936764.

Contact Information

	Christopher Jon Stark,
	400 W 16th St, Pueblo, CO 81003-2745
	(719) 595-2218
	(719) 595-7994

Map and Direction

Physician's Profile

Full Name	Christopher Jon Stark
Gender	Male
Speciality	Internal Medicine
Location	400 W 16th St, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013936764
Provider Enumeration Date: 07/19/2006
Last Update Date: 05/12/2023

Medicare PECOS Information:

PECOS PAC ID: 5991703381
Enrollment ID: I20061120000046

Medical Identifiers

Medical identifiers for Christopher Jon Stark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013936764	NPI	-	NPPES
64125065	Medicaid	KY
9000147685	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	39876 (Kentucky)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	50157 (Minnesota)	Secondary
208M00000X	Hospitalist	DR.0058428 (Colorado)	Secondary
207R00000X	Internal Medicine	DR.0058428 (Colorado)	Primary

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. Christopher Jon Stark allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150

Entity Name	Hospitalist Associates Of Lexington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982833596 PECOS PAC ID: 9638215767 Enrollment ID: O20091005000069

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. Christopher Jon 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
Christopher Jon Stark, Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580	Christopher Jon Stark, 400 W 16th St, Pueblo, CO 81003-2745 Ph: (719) 595-2218

Reviews and Comments

Internal Medicine Doctors in Pueblo, CO

Dr. Christopher John Calcagno, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N. Grand Ave., Ste. 300, Pueblo, CO 81003 Phone: 719-562-2001 Fax: 719-562-2742
Greg Alan Bowman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 500, Pueblo, CO 81003 Phone: 719-545-0663 Fax: 719-595-7903
Lauren E. Sullenberger, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-5097
Peter Lochow, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1593
Dr. Raj Vashistha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd., Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1592
Dr. Rebecca Elizabeth Holder, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1207 Pueblo Boulevard Way, Pueblo, CO 81005 Phone: 719-542-0032 Fax: 719-553-1904

Christopher Jon Stark, - Medicare Internal Medicine in Pueblo, CO