Dr Gregory Jay Stark, MD - Medicare Pediatrics in Tarboro, NC

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Dr Gregory Jay Stark, MD is a medicare enrolled "Pediatrics" physician in Tarboro, North Carolina. His current practice location is 101 Clinic Dr, Tarboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 823-2105.

Dr Gregory Jay Stark is licensed to practice in North Carolina (license number 200001621) 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 1184685778.

Contact Information

Dr Gregory Jay Stark, MD
101 Clinic Dr,
Tarboro, NC 27886-1935
(252) 823-2105
(252) 823-3164

Map and Direction




Physician's Profile

Full NameDr Gregory Jay Stark
GenderMale
SpecialityPediatrics
Location101 Clinic Dr, Tarboro, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184685778
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 01/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830272228
  • Enrollment ID: I20080207000676

Medical Identifiers

Medical identifiers for Dr Gregory Jay Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184685778NPI-NPPES
891285JMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 200001621 (North Carolina)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. Dr Gregory Jay Stark allows following entities to bill medicare on his behalf.
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445

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 Gregory Jay 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 AddressPractice Location Address
Dr Gregory Jay Stark, MD
101 Clinic Dr,
Tarboro, NC 27886-1935

Ph: (252) 823-2105		Dr Gregory Jay Stark, MD
101 Clinic Dr,
Tarboro, NC 27886-1935

Ph: (252) 823-2105

Reviews and Comments


Pediatrics Doctors in Tarboro, NC

Dr. Jon Dubose, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 111 Hospital Dr, Tarboro, NC 27886
Phone: 252-641-7700    Fax: 252-641-7313
Ada Williams-wooten, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 101 Clinic Dr, Tarboro, NC 27886
Phone: 252-823-2105    
Sreelakshmi Chettoor Janardhanan,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 101 Clinic Dr, Tarboro, NC 27886
Phone: 252-823-2105    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.