Peter Douglas Stephan, MD | |
188 E Southway Blvd, Kokomo, IN 46902-3650 | |
(765) 453-9000 | |
Not Available |
Full Name | Peter Douglas Stephan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | 188 E Southway Blvd, Kokomo, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548266307 | NPI | - | NPPES |
01551745 | Medicaid | IN | |
624637757A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 053956 (Georgia) | Secondary |
207Q00000X | Family Medicine | 55024 (Florida) | Secondary |
207Q00000X | Family Medicine | 01035748A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elara Caring | Kokomo, IN | Home health agency |
Ascension At Home | Anderson, IN | Home health agency |
Ascension St Vincent Kokomo | Kokomo, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Medical Group Inc | 7012047640 | 626 |
Entity Name | St Vincent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
---|---|
Peter Douglas Stephan, MD 188 E Southway Blvd, Kokomo, IN 46902-3650 Ph: () - | Peter Douglas Stephan, MD 188 E Southway Blvd, Kokomo, IN 46902-3650 Ph: (765) 453-9000 |
Dr. Eric Tuchscherer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433 | |
Keith Ennis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433 | |
Dr. David Alan Cheesman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433 | |
William Mohr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2330 S Dixon Rd, Kokomo, IN 46902 Phone: 765-455-5400 Fax: 765-865-3912 | |
Emily A Backer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 E Southway Blvd, Kokomo, IN 46902 Phone: 765-865-3300 Fax: 765-865-3306 | |
Dr. Rose Paul, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 138 N Dixon Rd, Kokomo, IN 46901 Phone: 765-236-8282 | |
William G Terpstra, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 821 N Dixon Rd, Kokomo, IN 46901 Phone: 765-452-0878 Fax: 765-452-1826 |