Owen Stark, - Medicare Diagnostic Radiology in Ypsilanti, MI

Owen Stark, is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Ypsilanti, Michigan. He went to University Of Michigan Medical School and graduated in 2004 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Huron Valley Radiology Pc and his current practice location is 5333 Mcauley Dr, Suite 6016, Ypsilanti, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 712-8350.

Owen Stark is licensed to practice in Michigan (license number 4301083869) 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 1073709531.

Contact Information

Owen Stark,
5333 Mcauley Dr, Suite 6016,
Ypsilanti, MI 48197-1014
(734) 712-8350
(734) 712-8251



Physician's Profile

Full NameOwen Stark
GenderMale
SpecialityDiagnostic Radiology
Experience20 Years
Location5333 Mcauley Dr, Ypsilanti, Michigan
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:
  • Owen Stark attended and graduated from University Of Michigan Medical School in 2004
  NPI Data:
  • NPI Number: 1073709531
  • Provider Enumeration Date: 09/19/2007
  • Last Update Date: 07/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456521830
  • Enrollment ID: I20191111000456

Medical Identifiers

Medical identifiers for Owen Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073709531NPI-NPPES
102628033MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD443256 (Pennsylvania)Secondary
2085R0202XRadiology - Diagnostic Radiology 57012650 (Ohio)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology MD443256 (Pennsylvania)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 4301083869 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Mercy HospitalAnn arbor, MIHospital
Emma L Bixby Medical CenterAdrian, MIHospital
St Joe Mercy Hospital System LivoniaLivonia, MIHospital
St Joseph Mercy ChelseaChelsea, MIHospital
Saint Joseph Mercy Livingston HospitalHowell, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Huron Valley Radiology Pc296146685972

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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. Owen Stark allows following entities to bill medicare on his behalf.
Entity NameHuron Valley Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659398519
PECOS PAC ID: 2961466859
Enrollment ID: O20041119000401

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Entity NameCambria Somerset Radiology & Nuclear Medicine Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730107590
PECOS PAC ID: 7113824277
Enrollment ID: O20191111000341

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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. Owen 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
Owen Stark,
5333 Mcauley Dr, Suite 6016,
Ypsilanti, MI 48197-1014

Ph: (734) 712-8350
Owen Stark,
5333 Mcauley Dr, Suite 6016,
Ypsilanti, MI 48197-1014

Ph: (734) 712-8350

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› Verified 3 days ago


Radiology Doctors in Ypsilanti, MI

Dr. Vishal Bhagat, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197
Phone: 734-712-8350    Fax: 734-712-8351
Dr. Gil S. Borlaza, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197
Phone: 734-712-8350    Fax: 734-712-8351
Oneil Lee, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197
Phone: 734-712-8350    Fax: 734-712-8351
Dr. Atif Siddiqi, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197
Phone: 734-712-8350    Fax: 734-712-8351
Dr. Eva Bieniek, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197
Phone: 734-712-3456    Fax: 734-712-3456
Paul Lee,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197
Phone: 734-712-8350    

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