Dr Mark R Stevens, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" physician in Augusta, Georgia. His current practice location is
1430 John Wesley Gilbert Drive, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 721-9744.
Dr Mark R Stevens is licensed to practice in Georgia (license number DN013387) 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 1407878606.
Physician's Profile
| Full Name | Dr Mark R Stevens |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 1430 John Wesley Gilbert Drive, Augusta, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1407878606
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 3779586458
- Enrollment ID: I20060818000246
Medical Identifiers
Medical identifiers for Dr Mark R Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407878606 | NPI | - | NPPES |
| 589724798B | Medicaid | GA | |
| 589724798I | Medicaid | GA | |
| ZG3387 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 204E00000X | Oral & Maxillofacial Surgery | DN7757 (Florida) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DNGA000215 (Georgia) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DDS25997 (California) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DN013387 (Georgia) | 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 Mark R Stevens allows following entities to bill medicare on his behalf.
| Entity Name | Au Medical Associates Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188 |
|---|
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 Mark R Stevens 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 Mark R Stevens, DDS
1430 John Wesley Gilbert Drive Gc-1012,
Augusta, GA 30912-0001
Ph: (706) 721-7913 | Dr Mark R Stevens, DDS
1430 John Wesley Gilbert Drive,
Augusta, GA 30912-0004
Ph: (706) 721-9744 |
Reviews and Comments