Mark Conrad Stover, MD - Medicare Emergency Medicine in Kotzebue, AK

Mark Conrad Stover, MD is a medicare enrolled "Emergency Medicine" physician in Kotzebue, Alaska. He went to Washington University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Maniilaq Association and his current practice location is 436 5th Ave, Kotzebue, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 442-7148.

Mark Conrad Stover is licensed to practice in California (license number C55475) 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 1093876138.

Contact Information

Mark Conrad Stover, MD
436 5th Ave,
Kotzebue, AK 99752
(907) 442-7148
Not Available



Physician's Profile

Full NameMark Conrad Stover
GenderMale
SpecialityEmergency Medicine
Experience21 Years
Location436 5th Ave, Kotzebue, Alaska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Conrad Stover attended and graduated from Washington University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1093876138
  • Provider Enumeration Date: 12/13/2006
  • Last Update Date: 11/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4486755741
  • Enrollment ID: I20110718000276

Medical Identifiers

Medical identifiers for Mark Conrad Stover such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093876138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 04-34374 (Kansas)Secondary
207P00000XEmergency Medicine C55475 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maniilaq Health CenterKotzebue, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maniilaq Association610388179214

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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. Mark Conrad Stover allows following entities to bill medicare on his behalf.
Entity NameTuba City Regional Health Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548294424
PECOS PAC ID: 4284542531
Enrollment ID: O20031105000107

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Entity NameManiilaq Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861698805
PECOS PAC ID: 6103881792
Enrollment ID: O20041123000372

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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. Mark Conrad Stover 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
Mark Conrad Stover, MD
705 N San Francisco St,
Flagstaff, AZ 86001-3232

Ph: () -
Mark Conrad Stover, MD
436 5th Ave,
Kotzebue, AK 99752

Ph: (907) 442-7148

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Emergency Medicine Doctors in Kotzebue, AK

Paul S Weinberg, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752
Phone: 907-442-3321    Fax: 907-442-7250
Robert Perchik, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752
Phone: 907-442-3321    Fax: 907-442-7250

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