Stephen M Squires, MD is a medicare enrolled "Dermatology" physician in Martinez, Georgia. He went to University Of Utah School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Prosynergy Dermatology Llc, Skin Fix Sc Llc, Prosynergy Dermatology Llc and his current practice location is
111 Davis Rd, Martinez, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 432-9285.
Stephen M Squires is licensed to practice in Georgia (license number 74375) 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 1346476199.
Physician's Profile
| Full Name | Stephen M Squires |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 16 Years |
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| Location | 111 Davis Rd, Martinez, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stephen M Squires attended and graduated from University Of Utah School Of Medicine in 2009
NPI Data:
- NPI Number: 1346476199
- Provider Enumeration Date: 06/08/2009
- Last Update Date: 08/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991931339
- Enrollment ID: I20150803001752
Medical Identifiers
Medical identifiers for Stephen M Squires such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346476199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 74375 (Georgia) | Secondary |
| 207N00000X | Dermatology | 74375 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Prosynergy Dermatology Llc | 3971966938 | 3 |
| Skin Fix Sc Llc | 2163819137 | 3 |
| Prosynergy Dermatology Llc | 3971966938 | 3 |
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 M Squires allows following entities to bill medicare on his behalf.
| Entity Name | Prosynergy Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205518875
PECOS PAC ID: 3971966938
Enrollment ID: O20230824001212 |
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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 M Squires 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 |
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Stephen M Squires, MD
111 Davis Rd,
Martinez, GA 30907-2383
Ph: (706) 432-9285 | Stephen M Squires, MD
111 Davis Rd,
Martinez, GA 30907-2383
Ph: (706) 432-9285 |
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