Dr Travis Jack Stark, DPM - Medicare Podiatrist in Yuma, AZ

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Dr Travis Jack Stark, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Yuma, Arizona. His current practice location is 2503 S Avenue A Ste 2, Yuma, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 783-0092.

Dr Travis Jack Stark is licensed to practice in Arizona (license number 000983) 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 1487949384.

Contact Information

Dr Travis Jack Stark, DPM
2503 S Avenue A Ste 2,
Yuma, AZ 85364-7174
(928) 783-0092
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Travis Jack Stark
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location2503 S Avenue A Ste 2, Yuma, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487949384
  • Provider Enumeration Date: 06/20/2011
  • Last Update Date: 07/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749592814
  • Enrollment ID: I20221201001425

Medical Identifiers

Medical identifiers for Dr Travis Jack Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487949384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 311 (Oklahoma)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 5315051097 (Michigan)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 000983 (Arizona)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 Travis Jack Stark allows following entities to bill medicare on his behalf.
Provider NameBio Family Clinic Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1821387051
PECOS PAC ID: 2769668136
Enrollment ID: O20110519000360
Provider NameBio Clinic Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1033643374
PECOS PAC ID: 2062780018
Enrollment ID: O20170614002709

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 Travis Jack Stark 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 AddressPractice Location Address
Dr Travis Jack Stark, DPM
Po Box 669,
Yuma, AZ 85366-2329

Ph: (928) 247-6516		Dr Travis Jack Stark, DPM
2503 S Avenue A Ste 2,
Yuma, AZ 85364-7174

Ph: (928) 783-0092

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.