Edward Stark, MD in Lawrenceville, GA

Edward Stark, MD is a medicare enrolled "Urology" physician in Lawrenceville, Georgia. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Urology. He is a member of the group practice Georgia Urology, Pa, Urological Professional Services, Llc, New York University and his current practice location is 500 Medical Center Blvd, Suite 220, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 963-2451.

Edward Stark is licensed to practice in Georgia (license number 041680) 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 1093727166.

Contact Information

	Edward Stark, MD
	500 Medical Center Blvd, Suite 220, Lawrenceville, GA 30046
	(770) 963-2451
	(770) 962-0017

Map and Direction

Physician's Profile

Full Name	Edward Stark
Gender	Male
Speciality	Urology
Experience	37 Years
Location	500 Medical Center Blvd, Lawrenceville, 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:

Edward Stark graduated from medical school in 1987

NPI Data:

NPI Number: 1093727166
Provider Enumeration Date: 08/13/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6103999123
Enrollment ID: I20101206000254

Medical Identifiers

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

Identifier	Type	State	Issuer
1093727166	NPI	-	NPPES
340015407	Other	GA	RAILROAD MEDICARE
000707891G	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	041680 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
New York University Langone Medical Center	New york, NY	Hospital
Northside Hospital	Atlanta, GA	Hospital
Northside Hospital Forsyth	Cumming, GA	Hospital
Northside Hospital Gwinnett	Lawrenceville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Georgia Urology, Pa	8921094376	71
Urological Professional Services, Llc	9638391717	56
New York University	1355232422	4431

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. Edward Stark allows following entities to bill medicare on his behalf.

Entity Name	Georgia Urology, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123

Entity Name	Urological Professional Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579

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. Edward 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
Edward Stark, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4040	Edward Stark, MD 500 Medical Center Blvd, Suite 220, Lawrenceville, GA 30046 Ph: (770) 963-2451

Reviews and Comments

Urology Doctors in Lawrenceville, GA

Dr. Christopher Joon Ki Kim, MD, PHARMD Urology Medicare: Not Enrolled in Medicare Practice Location: 850 Lawrenceville Suwanee Rd Ste 101, Lawrenceville, GA 30043 Phone: 770-963-2451
Roosevelt Allen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 Medical Center Blvd, Suite 220, Lawrenceville, GA 30046 Phone: 770-963-2451 Fax: 770-962-0017
Dr. Jin Soon Yeoh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Dr Ste 490, Lawrenceville, GA 30046 Phone: 770-995-0424 Fax: 770-513-7334
Mukesh R Patel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 501 Crownpointe Way, Lawrenceville, GA 30046 Phone: 678-344-8900 Fax: 678-666-5201
Dr. Kanika Searvance, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 500 Medical Center Blvd Ste 345, Lawrenceville, GA 30046 Phone: 770-963-2451
David Zhang Qi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 501 Crownpointe Way, Lawrenceville, GA 30046 Phone: 678-344-8900 Fax: 678-666-5201

Edward Stark, MD - Medicare Urology in Lawrenceville, GA