Mr Richard James Stork, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Elkin, North Carolina. His current practice location is
110 Dutchman Ct, Elkin, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 835-5330.
Mr Richard James Stork is licensed to practice in North Carolina (license number 2008006962) 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 1205897956.
Physician's Profile
| Full Name | Mr Richard James Stork |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 110 Dutchman Ct, Elkin, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205897956
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 01/14/2014
Medicare PECOS Information:
- PECOS PAC ID: 9931171097
- Enrollment ID: I20070802000466
Medical Identifiers
Medical identifiers for Mr Richard James Stork such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205897956 | NPI | - | NPPES |
| 000834666M | Medicaid | GA | |
| 018XV | Other | NC | BCBS OF NC |
| 197955 | Other | NC | MEDCOST |
| 3893809 | Medicaid | TN | |
| 009976335 | Medicaid | AL | |
| 5906657 | Medicaid | NC | |
| 113000001 | Other | MO | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | MD0000021916 (Tennessee) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 047537 (Georgia) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 2007-00624 (North Carolina) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 2008006962 (Missouri) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 2008006962 (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. Mr Richard James Stork allows following entities to bill medicare on his behalf.
| Entity Name | Watauga Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528134194
PECOS PAC ID: 2668377474
Enrollment ID: O20040210000805 |
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| Entity Name | Northern Hospital Of Surry County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114467404
PECOS PAC ID: 0244281749
Enrollment ID: O20170911002297 |
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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. Mr Richard James Stork 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 |
|---|
Mr Richard James Stork, MD
Po Box 1267,
Mount Airy, NC 27030-1267
Ph: (336) 786-4522 | Mr Richard James Stork, MD
110 Dutchman Ct,
Elkin, NC 28621-2237
Ph: (336) 835-5330 |
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