Jill Stark, DPM - Podiatrist in Boothbay, ME

Jill Stark, DPM is a Podiatrist based in Boothbay, Maine. Jill Stark is licensed to practice in New York (license number 006857) and her current practice location is 104 Pension Ridge Rd, Boothbay, Maine. She can be reached at her office (for appointments etc.) via phone at (201) 294-5672.

NPI number for Jill Stark is 1336816917 and her current mailing address is 104 Pension Ridge Rd, Boothbay, Maine. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336816917.

Contact Information

Jill Stark, DPM
104 Pension Ridge Rd,
Boothbay, ME 04537-4810
(201) 294-5672
Not Available



Healthcare Provider's Profile

Full NameJill Stark
GenderFemale
SpecialityPodiatrist
Location104 Pension Ridge Rd, Boothbay, Maine
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336816917
  • Provider Enumeration Date: 08/23/2021
  • Last Update Date: 08/23/2021

Medical Identifiers

Medical identifiers for Jill Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336816917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 006857 (New York)Primary

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. Jill Stark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jill Stark, DPM
104 Pension Ridge Rd,
Boothbay, ME 04537-4810

Ph: (201) 294-5672
Jill Stark, DPM
104 Pension Ridge Rd,
Boothbay, ME 04537-4810

Ph: (201) 294-5672

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Podiatrist in Boothbay, ME


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