Stephen J Bazzano, DO is a medicare enrolled "Family Medicine" physician in Galena, Kansas. His current practice location is
111 E 7th St, Galena, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 783-1358.
Stephen J Bazzano is licensed to practice in Kansas (license number 14599) 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 1063423150.
Physician's Profile
| Full Name | Stephen J Bazzano |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 111 E 7th St, Galena, Kansas |
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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: 1063423150
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 08/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 4486741600
- Enrollment ID: I20080508000426
Medical Identifiers
Medical identifiers for Stephen J Bazzano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063423150 | NPI | - | NPPES |
| 100098210A | Medicaid | KS | |
| 240387613 | Medicaid | MO | |
| 080075003 | Other | KS | PALMETTO GBA RAILROAD MCR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 32305 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 14599 (Kansas) | 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. Stephen J Bazzano allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Clinic Joplin Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215264817
PECOS PAC ID: 0547300196
Enrollment ID: O20091218000092 |
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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. Stephen J Bazzano 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 |
|---|
Stephen J Bazzano, DO
Po Box 277, 111 E 7th St,
Galena, KS 66739
Ph: (620) 783-1358 | Stephen J Bazzano, DO
111 E 7th St,
Galena, KS 66739-1229
Ph: (620) 783-1358 |
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