Mickey Dwight Stapp, DPM - Medicare Podiatrist in Augusta, GA

Mickey Dwight Stapp, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Augusta, Georgia. He went to Barry University School Of Podiatric Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Upperline Healthcare Pc, Augusta Foot And Ankle, Pc and his current practice location is 1416 Wainbrook Dr, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 312-3668.

Mickey Dwight Stapp is licensed to practice in Georgia (license number POD000728) 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 1023114238.

Contact Information

Mickey Dwight Stapp, DPM
1416 Wainbrook Dr,
Augusta, GA 30909-6289
(706) 312-3668
(706) 312-3670



Healthcare Provider's Profile

Full NameMickey Dwight Stapp
GenderMale
SpecialityPodiatry
Experience32 Years
Location1416 Wainbrook Dr, Augusta, Georgia
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:
  • Mickey Dwight Stapp attended and graduated from Barry University School Of Podiatric Medicine in 1992
  NPI Data:
  • NPI Number: 1023114238
  • Provider Enumeration Date: 09/15/2006
  • Last Update Date: 07/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1951202621
  • Enrollment ID: I20040323000185

Medical Identifiers

Medical identifiers for Mickey Dwight Stapp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023114238NPI-NPPES
000660635JMedicaidGA
575733OtherGAAETNA HMO
2700036OtherGAUNITED HEALTHCARE
480032189OtherGARAILROAD MEDICARE
5106049OtherGAAETNA PPO
555655OtherGABCBS OF GEORGIA
000660635HMedicaidGA
GDP728OtherSCSOUTH CAROLINA MEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery POD000728 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Doctors HospitalAugusta, GAHospital
University HospitalAugusta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upperline Healthcare Pc4385900653117
Augusta Foot And Ankle, Pc49815056584

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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. Mickey Dwight Stapp allows following entities to bill medicare on his behalf.
Provider NameAugusta Foot & Ankle, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1619185352
PECOS PAC ID: 4981505658
Enrollment ID: O20040115000923

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Provider NameUpperline Healthcare Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1538686498
PECOS PAC ID: 4385900653
Enrollment ID: O20211101002967

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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. Mickey Dwight Stapp 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
Mickey Dwight Stapp, DPM
1416 Wainbrook Dr,
Augusta, GA 30909-6289

Ph: (706) 312-3668
Mickey Dwight Stapp, DPM
1416 Wainbrook Dr,
Augusta, GA 30909-6289

Ph: (706) 312-3668

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Podiatrist in Augusta, GA

Henry Greene Bryant Iii, DPM
Podiatrist
Medicare: May Accept Medicare Assignments
Practice Location: 2030 Walton Way, Augusta, GA 30904
Phone: 706-738-1925    Fax: 706-738-0705
Dr. James Austin Denmark, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2260 Wrightsboro Rd, Suite 154, Augusta, GA 30904
Phone: 706-364-0263    
Augusta Center For Foot And Ankle Surgery
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Laney Walker Blvd, Augusta, GA 30904
Phone: 706-724-9224    Fax: 706-724-4468
Fyne Foot Care Center
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1710 Central Ave, Augusta, GA 30904
Phone: 706-373-4402    
Christopher David Anna, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1416 Wainbrook Dr, Augusta, GA 30909
Phone: 706-312-3668    Fax: 706-312-3670
Upperline Healthcare, Pc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1416 Wainbrook Drive, Augusta, GA 30909
Phone: 706-312-3668    

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