| Dr Travis Jack Stark, DPM | |
|
9010 Lorton Station Blvd Ste 270, Lorton, VA 22079-4798 | |
| (540) 898-6500 | |
| (540) 834-0363 |
| Full Name | Dr Travis Jack Stark |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 15 Years |
| Location | 9010 Lorton Station Blvd Ste 270, Lorton, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487949384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103301505 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bio Family Clinic Inc | 2769668136 | 37 |
| Provider Name | Bio Family Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821387051 PECOS PAC ID: 2769668136 Enrollment ID: O20110519000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Travis Jack Stark, DPM Po Box 669, Yuma, AZ 85366-2329 Ph: (928) 247-6516 | Dr Travis Jack Stark, DPM 9010 Lorton Station Blvd Ste 270, Lorton, VA 22079-4798 Ph: (540) 898-6500 |
Dr. Tyler Gloschat, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9010 Lorton Station Blvd Ste 270, Lorton, VA 22079 Phone: 571-418-8670 |
Dr. Dannielle Vonderlinden, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9010 Lorton Station Blvd, Suite 270, Lorton, VA 22079 Phone: 571-418-8670 Fax: 571-418-8671 |
Shyaun Rafii, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9010 Lorton Station Blvd Ste 270, Lorton, VA 22079 Phone: 571-418-8670 Fax: 571-418-8671 |
Mohammad Araghiniknam, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 9010 Lorton Station Blvd Ste 270, Lorton, VA 22079 Phone: 540-898-6500 Fax: 540-834-0363 |
Andrew Falco, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9010 Lorton Station Blvd Ste 270, Lorton, VA 22079 Phone: 571-418-8670 Fax: 571-418-8671 |